Horton, Tiffany
Horton, Tiffany is an individual health care provider with primary practice located at 500 Jefferson St , Whiteville NC 28472-3634. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Horton, Tiffany can be contacted via phone (910) 641-8600.Contact Information
Primary practice address
500 Jefferson St
Whiteville NC 28472-3634
Phone: (910) 641-8600
Fax: (910) 641-8605
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 103683 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 103683 | North Carolina |
Profile Details
NPI number | 1144275165 |
---|---|
LBN Legal business name | Horton, Tiffany |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 24th, 2006 |
Last updated | Nov 15th, 2016 - about 8 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 | 1144275165 | NPPES |
North Carolina | Other | 103683 | STATE LICENSE |
North Carolina | MEDICAID | 1144275165 | STATE LICENSE |
North Carolina | MEDICAID | 2640PA | STATE LICENSE |
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