Individual
TIFFANY VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 HIGHWAY 17 N, SURFSIDE BEACH, SC 29575
(843) 238-1461
Mailing address
1600 HIGHWAY 17 N, SURFSIDE BEACH, SC 29575-6015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD81605
SC
390200000X
Student in an Organized Health Care Education/Training Program
4301108149
MI
Other
Enumeration date
07/06/2015
Last updated
10/04/2018
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