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Individual

TIFFANY SUE SEARLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3800 ARCO CORPORATE DR STE 320, CHARLOTTE, NC 28273-3411
(704) 237-4240
Mailing address
3800 ARCO CORPORATE DR STE 320, CHARLOTTE, NC 28273-3411
(704) 237-4240

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
Primary
10-10737
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10-10737
NORTH CAROLINA MEDICAL BOARD
NC
Enumeration date
08/13/2019
Last updated
01/15/2021
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