Individual
MS. TIFFANY LYNNJOY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
519 QUICKSILVER TRL, FORT MILL, SC 29708-6507
(803) 981-4750
(866) 415-8349
Mailing address
519 QUICKSILVER TRL, FORT MILL, SC 29708-6507
(803) 981-4750
(866) 415-8349
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
IHCP-0913
SC
Other
Enumeration date
07/06/2019
Last updated
07/06/2019
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