Provider Demographics
NPI:1508152232
Name:CLAY-RAMSEY, TIFFANY LATRICE (MD)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:LATRICE
Last Name:CLAY-RAMSEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4939 LOWER ROSWELL RD STE 104A
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-4382
Mailing Address - Country:US
Mailing Address - Phone:404-816-7900
Mailing Address - Fax:048-167-9294
Practice Address - Street 1:4939 LOWER ROSWELL RD STE 104A
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-4382
Practice Address - Country:US
Practice Address - Phone:404-816-7900
Practice Address - Fax:404-816-7929
Is Sole Proprietor?:No
Enumeration Date:2011-06-21
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA74484207N00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology