Provider Demographics
NPI:1326844630
Name:MARTIN, TIFFANY SMITH (CLD)
Entity type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:SMITH
Last Name:MARTIN
Suffix:
Gender:
Credentials:CLD
Other - Prefix:MRS
Other - First Name:TIFFANY
Other - Middle Name:S
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:211 COZY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:MERIDIANVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35759-1331
Mailing Address - Country:US
Mailing Address - Phone:770-262-5757
Mailing Address - Fax:
Practice Address - Street 1:7540 MEMORIAL PKWY SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-2265
Practice Address - Country:US
Practice Address - Phone:770-262-5757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula