Provider Demographics
NPI:1588984660
Name:FELTMAN MEALS, TIFFANY (DO)
Entity type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:
Last Name:FELTMAN MEALS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:TIFFANY
Other - Middle Name:MICHELLE
Other - Last Name:FELTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 370
Mailing Address - Street 2:
Mailing Address - City:FORTSON
Mailing Address - State:GA
Mailing Address - Zip Code:31808-0370
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:706-494-3008
Practice Address - Street 1:5651 FRIST BLVD
Practice Address - Street 2:SUITE 500
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2054
Practice Address - Country:US
Practice Address - Phone:615-889-3340
Practice Address - Fax:615-366-2433
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-10
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3106207X00000X, 207XS0114X
VA0116028363390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program