Healthcare Provider Details

I. General information

NPI: 1043604127
Provider Name (Legal Business Name): TIFFANY HOI-YAN PIKE-LEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2015
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVE
FORT BRAGG NC
28310-4500
US

IV. Provider business mailing address

WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVE
FORT BRAGG NC
28310-0001
US

V. Phone/Fax

Practice location:
  • Phone: 910-643-1923
  • Fax:
Mailing address:
  • Phone: 910-643-1923
  • Fax: 910-907-0752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License Number27507
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: