Individual
TIFFANY MAHAFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2562 GREAT SCOTT DR, MYRTLE BEACH, SC 29579-3619
(843) 267-3804
Mailing address
2562 GREAT SCOTT DR, MYRTLE BEACH, SC 29579-3619
(843) 267-3804
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18732
SC
Other
Enumeration date
03/06/2014
Last updated
09/29/2022
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