Individual
DR. JOHN BURTON TIFFANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 TOWN CREEK RD, AIKEN, SC 29803-5843
(803) 508-7651
(803) 508-7655
Mailing address
215 TOWN CREEK RD, AIKEN, SC 29803-5843
(803) 508-7651
(803) 508-7655
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18765
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187657
—
SC
Enumeration date
02/06/2006
Last updated
10/06/2017
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