TIFFANY MAHAFFEY


Address: 1101 Brightwater Drive, Agape Physicians Care, Myrtle Beach, SC 29579
Phone: 8439033554

TIFFANY MAHAFFEY (NPI# 1699191262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699191262
Entity Type Individual
Full Name TIFFANY MAHAFFEY
Credential FNP
Practice Address 1101 Brightwater Drive
Agape Physicians Care
Myrtle Beach
SC 29579
Mailing Address 1624 Main Street
Agape Senior Primary Care, Inc., Dba Agape Physicians C
Columbia
SC 29201
Practice Telephone 8439033554
Practice Fax Number 8439033560
Mailing Telephone 8034540365
Mailing Fax Number 8034046000
Enumeration Date 2014-03-06
Last Update Date 2015-04-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
18732 SC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1101 BRIGHTWATER DRIVE
AGAPE PHYSICIANS CARE
City MYRTLE BEACH
State SC
Zip Code 29579

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NPI Name Taxonomy Address Enumeration
1598323198 P & E Company Counselor 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 2019-05-30
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1508347931 South Carolina Cvs Pharmacy LLC Pharmacy 578 International Dr, Myrtle Beach, SC 29579 2018-08-23
1497256176 Orthosc LLC Orthopaedic Surgery 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 2018-02-27
1740708981 Dental Professional of South Carolina, P.C. Dentist 568 International Dr, Myrtle Beach, SC 29579 2017-09-08
1093232480 Johnathan T Steppe Dentist 568 International Drive, Myrtle Beach, SC 29579 2017-08-25
1346638483 Little River Medical Center, Inc Clinic/Center 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 2014-12-23
1154726818 Mina Gaid Pharmacist 1303 38th Avenue North, Myrtle Beach, SC 29579 2014-10-23
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225671027 Tara Sharay Woods Nurse Practitioner 215 Ronnie Ct Ste D, Myrtle Beach, SC 29579-4204 2019-10-24
1629611694 Nancy Lauren Johnson Nurse Practitioner 101 Mcleod Health Blvd, Myrtle Beach, SC 29579-4477 2019-10-23
1528624632 Matthew Meehan Nurse Practitioner 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 2019-05-14
1528569712 Sarah Manglicmot Campos Nurse Practitioner 2050 Corporate Centre Dr Ste 220, Myrtle Beach, SC 29577-7428 2018-02-23
1679088793 Maribeth Reid Nurse Practitioner 3236 Holmestown Rd Unit E1, Myrtle Beach, SC 29588-7495 2017-12-12
1184165714 Emily Whitehurst Nurse Practitioner 3913 Carnegie Ave, Apt 216, Myrtle Beach, SC 29588-1144 2017-03-15
1851835441 Sandra Graham Nurse Practitioner 101 Mcleod Health Blvd Ste 202, Myrtle Beach, SC 29579-4477 2016-12-15
1487058434 Ashley Adams Nurse Practitioner 4887 Socastee Blvd, Myrtle Beach, SC 29588-7245 2014-10-20
1902235864 Larissa Connell Nurse Practitioner 2510 N Kings Hwy, Myrtle Beach, SC 29577-3037 2013-11-01
1568585966 Forest Family Practice, LLC Nurse Practitioner 3874 Renee Drive, Suite B, Myrtle Beach, SC 29579 2007-04-09
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Competitor

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City MYRTLE BEACH
Zip Code 29579

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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