Individual
TIFFANY MCCASKILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4736 HIGHWAY 17 BYP S, MYRTLE BEACH, SC 29588-5616
(843) 213-2039
Mailing address
4736 HIGHWAY 17 BYP S, MYRTLE BEACH, SC 29588-5616
(843) 213-2039
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26347
SC
Other
Enumeration date
07/24/2022
Last updated
07/24/2022
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