Brown, Tiffaney Medina
Brown, Tiffaney Medina is an individual health care provider with primary practice located at 675 N Matthews Rd , Lake City SC 29560-7027. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Brown, Tiffaney Medina can be contacted via phone (843) 394-7600.Contact Information
Primary practice address
675 N Matthews Rd
Lake City SC 29560-7027
Phone: (843) 394-7600
Fax: (843) 394-7419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1578689303 |
|---|---|
| LBN Legal business name | Brown, Tiffaney Medina |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578689303 | NPPES |
| South Carolina | MEDICAID | 376241 |
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