Individual
TIFFANY M LINVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA SUITE 200, CHARLOTTE, NC 28203-5866
(704) 381-8840
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2017-02631
NC
2080P0206X
Pediatric Gastroenterology Physician
Primary
2017-02631
NC
Other
Enumeration date
10/24/2006
Last updated
07/15/2024
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