Individual
MRS. TIFFANY MICHELLE HERBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
6027 WALNUT GROVE RD, MEMPHIS, TN 38120-2145
(901) 761-1181
(901) 761-0589
Mailing address
62 PLANTERS GROVE TRL, BRIGHTON, TN 38011-7068
(901) 488-6406
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
3644
TN
Other
Enumeration date
04/10/2011
Last updated
05/31/2011
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