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Individual

TIFFANY GREGORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6000
(864) 560-4023
Mailing address
PO BOX 277723, ATLANTA, GA 30384-7723
(864) 560-4123
(864) 560-4023

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20937
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP4595
SC
01
SCA9503365
MEDICARE PIN
SC
Enumeration date
04/14/2017
Last updated
02/10/2023
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