Individual
TIFFANY GOGGANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
106 PARKVIEW DR, LAURENS, SC 29360-2652
(864) 984-0571
(864) 984-3610
Mailing address
1 INDEPENDENCE PT, STE 212, GREENVILLE, SC 29615-4536
(864) 797-6015
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19658
SC
Other
Enumeration date
09/22/2015
Last updated
01/25/2018
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