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TIFFANY RENEE CHEATHAM RN

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1326636507

Individual Registrant:
 TIFFANY RENEE CHEATHAM RN
Gender: F
Sole Proprietor

Location and contact information for practice:
6100 WHIRLAWAY RD  GRANITEVILLE, SC 29829-3967 US
Tel: 803-293-8969  Fax: --

Contact information for business:
6100 WHIRLAWAY RD  GRANITEVILLE, SC 29829-3967 US
Tel: --  Fax: --

Registration Information:
NPI: 1326636507
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163W00000XNursing Service Providers
Registered Nurse
SCRN238298

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
NA0000001




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