Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 0101241315 | VA |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 36775 | SC |
NPI | 1003007055 |
---|---|
Provider Name | Dr. Tiffany Nicole Howard |
First Address | West Columbia, SC 29169-4828 |
Second Address | West Columbia, SC 29169-4828 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2007 |
Last Update Date | 07/06/2015 |