Individual
TIFFANY BALLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7021 SAINT ANDREWS RD STE 1, COLUMBIA, SC 29212-1177
(864) 260-6995
(864) 884-9909
Mailing address
PO BOX 6130, SPARTANBURG, SC 29304-6130
(864) 583-0053
(864) 583-0147
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25540
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP8468
—
SC
Enumeration date
11/02/2021
Last updated
03/28/2024
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