Individual provider · NPI-1

Dr. Tiffany Carlson, D.O.

Preventive Medicine, Aerospace Medicine · Fort Rucker, AL

NPI number1104524750
StatusActive
Last updated in NPPESJul 10, 2026

Details

NPI
1104524750
Entity type
Individual (NPI-1)
Name
Dr. Tiffany Carlson
Credential
D.O.
Sex
Female
Sole proprietor
No
Enumeration date
Feb 22, 2023
Certification date
Jul 10, 2026
Last updated
Jul 10, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2083A0100X Preventive Medicine, Aerospace Medicine02007953AINYes

Practice location

Building 301 Andrews Avenue
Fort Rucker, AL 36362

Phone 343-255-7229

Mailing address

Building 301 Andrews Avenue
Fort Rucker, AL 36362

Phone 334-255-7400

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