Most Relevant Information
Provider Data
| NPI Number: | 1003007055 |
| Provider Name: | TIFFANY NICOLE HOWARD MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208100000X |
| Specialty: | Physical Medicine & Rehabilitation |
| License Number: | 0101241315 |
Most Important Dates
| Enumeration Date: | 08/06/2007 |
| Last Updated: | 09/18/2023 |
Provider Practice Location
103 SUM MOR DR
VITALITY MEDICAL CENTERS, INC.
WEST COLUMBIA
SC
291694828
Practice Location Phone/Fax
| Phone: | 8032189886 |
| Fax: |
Provider Mailing Location
103 SUM MOR DR
VITALITY MEDICAL CENTERS, INC.
WEST COLUMBIA
SC
291694828
Provider Mailing Phone/Fax
| Phone: | 8032189886 |
| Fax: |