Individual
TIFFANY OATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 COLUMBIA NORTHEAST DR STE H, COLUMBIA, SC 29223-6433
(803) 404-1931
Mailing address
1049 DONNA DR, ELGIN, SC 29045-9490
(803) 404-1931
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
—
SC
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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