Individual
TIFFANY CRYSTAL MILROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 S MAIN ST, SUMMERVILLE, SC 29483-6007
(843) 873-6004
(843) 871-0400
Mailing address
113 S MAIN ST, SUMMERVILLE, SC 29483-6007
(843) 873-6004
(843) 871-0400
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4680
SC
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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