SearchVirginia225200000X

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 Llc
Inferred 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