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NPI Code Detail

MEDICARE: TIFFANY MCCARVER

MEDICARE:   TIFFANY  MCCARVER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1376J00000XHomemaker

General Provider Information

NPI Number : 1154171197
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY MCCARVER
Provider Business Mailing Address
First Line : 5951 AYERS RD
Second Line :
City : WALBRIDGE
State : OH
Zip : 43465-9674
Country : US
Telephone Number : 419-819-0046
Fax Number :
Provider Business Practice Location Address
First Line : 4910 ROLANDALE AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43623-2937
Country : US
Telephone Number : 316-200-2979
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2024
Last Update Date : 03/25/2024

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Directions to “ TIFFANY MCCARVER ” Practice Location

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