Individual
TIFFANIE MANN MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
450 LANIER RD, MADISON, AL 35758-1866
(256) 265-5970
(256) 265-5971
Mailing address
PO BOX 2705, HUNTSVILLE, AL 35804-2705
(256) 265-5970
(256) 265-5971
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO1928
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
512-47782
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
01
—
512-59453
BCBS OF ALABAMA
AL
Enumeration date
05/11/2017
Last updated
07/22/2021
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