Individual
TIFFANY WEEKS MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
1330 DUTCH FORK RD, BALLENTINE, SC 29002-0568
(803) 749-1666
Mailing address
1330 DUTCH FORK ROAD, BALLENTINE, SC 29002
(803) 749-1666
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
23765
SC
363LF0000X
Family Nurse Practitioner
Primary
F12190057
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23765
APRN
SC
Enumeration date
07/06/2020
Last updated
05/12/2022
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