Individual
TIFFANI N MAYCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1023 MEDICAL CENTER PKWY STE 200, SELMA, AL 36701-7739
(334) 875-4184
(334) 874-3550
Mailing address
1023 MEDICAL CENTER PKWY STE 200, SELMA, AL 36701-7739
(334) 874-3443
(334) 874-3550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO.913
AL
Other
Enumeration date
04/06/2006
Last updated
12/20/2017
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