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Tiffany Clark
NPI 1750588307 · on the registry since 2007 · sole proprietor
Practice
- Address
- 432 Hermitage Dr.
Danville, VA 24541 - Phone
- (434) 793-1548
- Organisation at this address
- Emeritus Corp.
Danville Bg Opco LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia