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TIFFANY RENEE CHEATHAM RN
>> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1326636507
Individual Registrant: TIFFANY RENEE CHEATHAM RN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
6100 WHIRLAWAY RD GRANITEVILLE, SC 29829-3967 US
Tel: 803-293-8969 Fax: --
Tel: 803-293-8969 Fax: --
Contact information for business:
6100 WHIRLAWAY RD GRANITEVILLE, SC 29829-3967 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1326636507
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163W00000X | Nursing Service Providers Registered Nurse | SC | RN238298 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| NA | 00000 | 01 |
