Provider Demographics
NPI:1417119454
Name:RHYNE, TIFFANY M (DO)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:M
Last Name:RHYNE
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:1716 UNIVERSITY BLVD
Mailing Address - Street 2:HENRY PETERS BUILDING G080
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35294-0010
Mailing Address - Country:US
Mailing Address - Phone:205-996-6625
Mailing Address - Fax:205-934-6755
Practice Address - Street 1:1716 UNIVERSITY BLVD
Practice Address - Street 2:HENRY PETERS BUILDING G080
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35294-0001
Practice Address - Country:US
Practice Address - Phone:205-996-6625
Practice Address - Fax:205-934-6755
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALT 195 TA 784152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist