Healthcare Provider Details

I. General information

NPI: 1952565681
Provider Name (Legal Business Name): TIFFANY JOI ALGARIN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TIFFANY MACKLIN DO

II. Dates (important events)

Enumeration Date: 07/11/2008
Last Update Date: 11/20/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 W HENDERSON ST
SALISBURY NC
28144-2725
US

IV. Provider business mailing address

PO BOX 60447
CHARLOTTE NC
28260-0447
US

V. Phone/Fax

Practice location:
  • Phone: 704-637-1123
  • Fax: 704-637-1214
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number257630
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: