Individual
TIFFANY MARIE SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-6506
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
173096
NC
Other
Enumeration date
05/17/2011
Last updated
04/06/2018
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