Individual
BENJAMIN R TIGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
6473 CHADWELL CT, FORT MILL, SC 29707-5840
(803) 547-5979
Mailing address
6473 CHADWELL CT, FORT MILL, SC 29707-5840
(803) 448-9021
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7795444
—
NC
Enumeration date
08/28/2009
Last updated
03/05/2013
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