| Dr John Burton Tiffany, MD | |
|
215 Town Creek Rd, Aiken, SC 29803-5843 | |
| (803) 508-7651 | |
| (803) 508-7655 |
| Full Name | Dr John Burton Tiffany |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 215 Town Creek Rd, Aiken, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386616084 | NPI | - | NPPES |
| 187657 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 18765 (South Carolina) | Primary |
| Entity Name | Liberty Doctors Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700162203 PECOS PAC ID: 0840466017 Enrollment ID: O20120110000683 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Burton Tiffany, MD 215 Town Creek Rd, Aiken, SC 29803-5843 Ph: (803) 508-7651 | Dr John Burton Tiffany, MD 215 Town Creek Rd, Aiken, SC 29803-5843 Ph: (803) 508-7651 |
Jonathan C Collins, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 206 Centre South Blvd, Aiken, SC 29803 Phone: 803-642-9204 Fax: 803-648-3633 | |
Christopher Gary Bryant, Pediatrics Medicare: Medicare Enrolled Practice Location: 215 Town Creek Rd, Aiken, SC 29803 Phone: 803-508-7651 Fax: 803-508-7655 | |
Paula Anne Luther, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 206 Centre South Blvd, Aiken, SC 29803 Phone: 803-642-9204 Fax: 803-648-3633 | |
Dr. Francis J Dibona, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 755 Medical Park Dr, Aiken, SC 29801 Phone: 803-648-0718 Fax: 803-641-9143 | |
Dr. Victoria M. Stoeppler, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Clyburn Pl, Aiken, SC 29801 Phone: 803-649-0578 Fax: 803-649-2788 | |
Dr. Jose A Luis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 74 Physician Dr., Aiken Pediatrics, P.a., Aiken, SC 29801 Phone: 803-649-0578 Fax: 803-649-2788 |