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Tiffany Earle Bonnecaze, MD
Cardiovascular Disease Physician in Pinehurst, North Carolina
NPI 1720491889

Tiffany Earle Bonnecaze is a Cardiovascular Disease Physician based in Pinehurst, NC and is specialized in Cardiovascular Disease. Tiffany Earle Bonnecaze practices in Pinehurst, NC and has the professional credentials of MD. The NPI Number for Tiffany Earle Bonnecaze is 1720491889 and holds a License No. 3902200000X (North Carolina).

The current practice location address for Tiffany Earle Bonnecaze is 205 Page Rd, Pinehurst, NC and can be reached out via phone at 901-295-9211.

Location: 205 Page Rd, Pinehurst, NC, 28374-6810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720491889
Provider Name
Tiffany Earle Bonnecaze
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
205 Page Rd, Pinehurst, NC, 28374-6810
Phone Number
901-295-9211
Fax Number
Provider Enumeration Date
06/06/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
205 Page Rd
City
Pinehurst
State
North Carolina
Zip
28374-8798
Phone Number
901-295-9211
Fax Number
person
Provider Business Mailing Address Details
Address
205 Page Rd
City
Pinehurst
State
North Carolina
Zip
28374-8798
Phone Number
901-295-9211
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
2021-00612 (North Carolina)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
3902200000X (North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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