| Tift & Tift Llc | |
|
36 Coates Rd Hinesville GA 31313 | |
| (912) 977-4663 | |
| (912) 369-6530 |
| Full Name | Tift & Tift Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 36 Coates Rd, Hinesville, Georgia |
| Authorized Official Name and Position | Charles E. Tift (MEMBER MANAGER) |
| Authorized Official Contact | 9129774663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tift & Tift Llc 36 Coates Rd Hinesville GA 31313-1013 Ph: (912) 977-4663 | Tift & Tift Llc 36 Coates Rd Hinesville GA 31313 Ph: (912) 977-4663 |
| NPI Number | 1871808550 |
|---|---|
| Provider Enumeration Date | 08/18/2010 |
| Last Update Date | 08/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871808550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 012789 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | MSW002656 (Georgia) | Primary |
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