TIFFANY KAE FANTER

SPARTANBURG, SC
NPI1205531134
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: SC  LL89929)
Enumeration Date2023-03-31
Last Update Date2023-06-27
Business Address
TIFFANY KAE FANTER DO
101 E. WOOD STREET
SPARTANBURG, SC 29303-3098
Phone number: 864-560-1558
Mailing Address
TIFFANY KAE FANTER DO
101 E. WOOD STREET
SPARTANBURG, SC 29303-3098
Phone number: 864-560-1558
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