Individual
TIFFANY NEWKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 ROBERTS BLVD, WILLIAMSTON, SC 29697-1132
(864) 847-5442
(864) 847-3504
Mailing address
1 ROBERTS BLVD, WILLIAMSTON, SC 29697-1132
(864) 847-5442
(864) 847-3504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
259531
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104973577
—
SC
Enumeration date
11/22/2021
Last updated
11/22/2021
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