Individual
TIFFANY ANNE BERSANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
BEAUFORT MEMORIAL OBSTETRICS & GYNECOLOGY SPECIALISTS, 989 RIBAUT RD, STE 210, BEAUFORT, SC 29902
(843) 522-7820
(844) 296-2295
Mailing address
955 RIBAUT RD, BMAC CREDENTIALING COORDINATOR, BEAUFORT, SC 29902-5441
(843) 522-5674
(843) 522-5678
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
83058
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
830587
—
SC
Enumeration date
04/08/2015
Last updated
09/25/2019
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