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Individual

TIFFANY T WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2002 MEDICAL PKWY, SUITE 230, ANNAPOLIS, MD 21401-3046
(410) 266-3900
(410) 266-9245
Mailing address
2002 MEDICAL PKWY, SUITE 230, ANNAPOLIS, MD 21401-3046
(410) 266-3900
(410) 266-9245

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1560
KY
363AM0700X
Medical Physician Assistant
Primary
C05099
MD

Other

Enumeration date
06/28/2010
Last updated
05/15/2015
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