Provider Demographics
NPI:1730476284
Name:TAYLOR, TIFFANY D (MED)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:D
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:TIFFANY
Other - Middle Name:D
Other - Last Name:COBB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:527 STEPHENSON AVE
Mailing Address - Street 2:SUITE A3
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-5923
Mailing Address - Country:US
Mailing Address - Phone:912-352-8530
Mailing Address - Fax:912-352-1423
Practice Address - Street 1:527 STEPHENSON AVE
Practice Address - Street 2:SUITE A3
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-5923
Practice Address - Country:US
Practice Address - Phone:912-352-8530
Practice Address - Fax:912-352-1423
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAUD003559237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter