SearchMississippi3747A0650X

Tiffany Sturdivant

NPI 1790221943 · on the registry since 2017

Practice

Address
1504 23rd St N
Columbus, MS 39701
Phone
(662) 609-4976
Fax
(662) 223-3051
Organisation at this address
Family Friend,Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
3747A0650X
3747A0650X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-01-12

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 Mississippi