Individual
DR. TIFFANY MELISSA GADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1589 HIGHWAY 15 S, JACKSON, KY 41339-9634
(606) 666-2622
(606) 666-7894
Mailing address
1589 HIGHWAY 15 S, JACKSON, KY 41339-9634
(606) 666-2622
(606) 666-7894
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016616
KY
Other
Enumeration date
06/19/2014
Last updated
12/04/2023
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