Most Relevant Information
Provider Data
| NPI Number: | 1003478363 |
| Provider Name: | TIFFANI BUCKNER |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/07/2019 |
| Last Updated: | 07/07/2019 |
Provider Practice Location
1330 INGERSOLL DR
PHENIX CITY
AL
368676042
Practice Location Phone/Fax
| Phone: | 3233588096 |
| Fax: |
Provider Mailing Location
614 25TH CT
PHENIX CITY
AL
368696448
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |