Keith, Tiffany Edwards

Keith, Tiffany Edwards is an individual health care provider with primary practice located at 1220 Jefferson St , Laurel MS 39440-4355. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Keith, Tiffany Edwards can be contacted via phone (601) 426-4000.

Contact Information

Primary practice address
1220 Jefferson St Laurel MS 39440-4355
Fax: (601) 426-4105
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA058228 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00374 Mississippi

Profile Details

NPI number 1720441355
LBN Legal business name Keith, Tiffany Edwards
Credentials MHS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2016
Last updated Nov 5th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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