Individual
MRS. TIFFANY HOPE SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6507 NORTH KINGS HWY, MYRTLE BEACH, SC 29572
(843) 692-9494
(843) 692-7474
Mailing address
6507 NORTH KINGS HWY, DR NORMAN'S MYRTLE BEACH DIET & REGENERATIVE CENTER, MYRTLE BEACH, SC 29572
(843) 692-9494
(843) 692-7474
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5007642
NC
363LC1500X
Community Health Nurse Practitioner
5007642
NC
363LF0000X
Family Nurse Practitioner
APN.19719
SC
Other
Enumeration date
06/04/2015
Last updated
10/30/2023
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