Individual
TIFFANY JANELL MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2038 LAKE MURRAY BLVD, COLUMBIA, SC 29212-0972
(843) 254-7588
Mailing address
2038 LAKE MURRAY BLVD, COLUMBIA, SC 29212-0972
(843) 254-7588
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
174414
SC
Other
Enumeration date
10/03/2025
Last updated
10/24/2025
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