Most Relevant Information
Provider Data
| NPI Number: | 1003690199 |
| Provider Name: | TIFFANY MCBRIDE |
| Entity Type: | Individual |
| Taxonomy Code: | 251S00000X |
| Specialty: | Community/Behavioral Health |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/21/2023 |
| Last Updated: | 08/21/2023 |
Provider Practice Location
8025 N POINT BLVD STE 156
WINSTON SALEM
NC
271063754
Practice Location Phone/Fax
| Phone: | 3367450679 |
| Fax: |
Provider Mailing Location
3000 NORTHWOOD DR APT 1118
WINSTON SALEM
NC
271063355
Provider Mailing Phone/Fax
| Phone: | 3367450679 |
| Fax: |