Provider Demographics
NPI:1841938115
Name:CAMPBELL, TIFFANY GEORGINA (MD)
Entity type:Individual
Prefix:MS
First Name:TIFFANY
Middle Name:GEORGINA
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MEMORIAL HEALTH SYSTEM
Mailing Address - Street 2:703 N FLAMINGO ROAD
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028
Mailing Address - Country:US
Mailing Address - Phone:954-265-4481
Mailing Address - Fax:954-276-0361
Practice Address - Street 1:MEMORIAL HEALTH SYSTEM
Practice Address - Street 2:703 N FLAMINGO ROAD
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028
Practice Address - Country:US
Practice Address - Phone:954-265-4481
Practice Address - Fax:954-276-0361
Is Sole Proprietor?:No
Enumeration Date:2022-05-25
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program