| NPI | 1588119556 |
|---|---|
| Doing Business As | TIFFANY PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | SARA ELIZABETH MAYNOR-HARDY Credentialing Coordinator 843-225-8320 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |