Individual
TIFFANY PRAYLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 LANG WISE RD, PROSPERITY, SC 29127-6966
(803) 944-7358
Mailing address
316 LANG WISE RD, PROSPERITY, SC 29127-6966
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
55356
SC
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
03/04/2026
Last updated
03/06/2026
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