Individual
MRS. TIFFANY S OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3735 GLENLAKE DR STE 250, CHARLOTTE, NC 28208-6866
(704) 749-5800
(704) 626-3237
Mailing address
585 MAIN ST STE 145, LAUREL, MD 20707-4354
(301) 298-8267
(301) 517-9386
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2019-02715
NC
207L00000X
Anesthesiology Physician
21797
MD
207L00000X
Anesthesiology Physician
79988
CT
207L00000X
Anesthesiology Physician
ME171870
FL
207L00000X
Anesthesiology Physician
Primary
V5202
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033938500
—
MD
Enumeration date
06/14/2007
Last updated
08/26/2025
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