Individual
TIFFANY H SELONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
719A GREENWAY ROAD, SUITE 100, BOONE, NC 28607-2860
(828) 264-4691
(828) 265-4288
Mailing address
PO BOX 2270, BOONE, NC 28607-2270
(828) 264-4691
(828) 265-4288
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2006-00978
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2856173
—
OH
05
—
5912397
—
NC
Enumeration date
04/12/2007
Last updated
10/17/2019
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