Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 23578 | TN |
NPI | 1326552225 |
---|---|
Provider Name | Tiffany Danielle Turner |
First Address | Pikeville, TN 37367-7025 |
Second Address | Pikeville, TN 37367-5643 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2017 |
Last Update Date | 19/11/2020 |