Provider Demographics
NPI:1356027353
Name:SINGLETARY, TIFFANY LORRAINE
Entity type:Individual
Prefix:MISS
First Name:TIFFANY
Middle Name:LORRAINE
Last Name:SINGLETARY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13271
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29504-3271
Mailing Address - Country:US
Mailing Address - Phone:843-230-0800
Mailing Address - Fax:
Practice Address - Street 1:136 FERNBROOKE DR
Practice Address - Street 2:
Practice Address - City:CADES
Practice Address - State:SC
Practice Address - Zip Code:29518-3321
Practice Address - Country:US
Practice Address - Phone:843-230-0800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist