Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 1116046 | AL |
NPI | 1013476050 |
---|---|
Provider Name | Tiffany Golub |
First Address | Huntsville, AL 35801-5051 |
Second Address | Huntsville, AL 35801-5051 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2019 |
Last Update Date | 11/06/2019 |