Individual
MS. TIFFANY ANN FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2376 CYPRESS CIR STE 200, CONWAY, SC 29526-8994
(843) 347-7216
Mailing address
300 SINGLETON RIDGE RD, ATTENTION PNS CREDENTIALING, CONWAY, SC 29526-9142
(843) 234-6946
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MW0265
—
SC
Enumeration date
06/10/2019
Last updated
08/12/2022
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