Individual
TIFFANY MADSEN OHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6488 WEDDINGTON MONROE RD, WESLEY CHAPEL, NC 28104-7948
(704) 384-8460
(704) 384-1018
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2016-00856
NC
Other
Enumeration date
12/02/2006
Last updated
01/27/2025
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