Provider Demographics
NPI:1548417553
Name:BILLINGSLY PERRY, TIFFINI NICOLE (MD)
Entity Type:Individual
Prefix:DR
First Name:TIFFINI
Middle Name:NICOLE
Last Name:BILLINGSLY PERRY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3200 HIGHLANDS PKWY SE STE 118
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30082-5192
Mailing Address - Country:US
Mailing Address - Phone:404-220-7660
Mailing Address - Fax:770-803-9191
Practice Address - Street 1:3200 HIGHLANDS PKWY SE STE 118
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30082-5192
Practice Address - Country:US
Practice Address - Phone:404-220-7660
Practice Address - Fax:770-803-9191
Is Sole Proprietor?:No
Enumeration Date:2008-08-20
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA002948208000000X
GA66257208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics