Individual
DR. TIFFANY DENISE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
222 S HERLONG AVE, ROCK HILL, SC 29732-1158
(803) 325-6301
Mailing address
400 GILEAD RD STE 651, HUNTERSVILLE, NC 28078-6899
(704) 781-8170
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
101629
GA
207P00000X
Emergency Medicine Physician
2018-00161
NC
Other
Enumeration date
12/15/2008
Last updated
04/05/2025
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