Individual
DR. TIFFANY NICOLE MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 DODSON AVE, FORT SMITH, AR 72901-5182
(479) 441-2694
Mailing address
8 RIVERLYN TER, FORT SMITH, AR 72903-2831
(479) 883-9058
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E-8867
AR
Other
Enumeration date
06/06/2011
Last updated
09/18/2015
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