Provider Demographics
NPI:1164718144
Name:MORRIS, TIFFANY RICHBURG (MD)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:RICHBURG
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:TIFFANY
Other - Middle Name:MEGAN
Other - Last Name:RICHBURG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1824 BARNSTAPLE LN
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-1414
Mailing Address - Country:US
Mailing Address - Phone:864-380-5110
Mailing Address - Fax:
Practice Address - Street 1:110 29TH AVE N STE 201
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1458
Practice Address - Country:US
Practice Address - Phone:615-327-4304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN54395207L00000X
GA4786207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology