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2802 Moore Hwy Abac 52 Tifton GA 31793-5679 | |
(229) 391-5030 | |
(229) 391-5031 |
Full Name | |
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Speciality | Clinic/center - Student Health |
Location | 2802 Moore Hwy, Tifton, Georgia |
Authorized Official Name and Position | John Clemens (VP PLANNING & OPERATIONS) |
Authorized Official Contact | 2293914875 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2802 Moore Hwy Abac 52 Tifton GA 31793-5679 Ph: (229) 391-5030 | 2802 Moore Hwy Abac 52 Tifton GA 31793-5679 Ph: (229) 391-5030 |
NPI Number | 1891038568 |
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Provider Enumeration Date | 04/01/2013 |
Last Update Date | 04/01/2013 |
Identifier | Type | State | Issuer |
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1891038568 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
Tifton Family Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 902 18th St East, Tifton, GA 31794 Phone: 229-382-6414 | |
Gowdy Enterprises Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2406 Tift Ave N, Suite 202, Tifton, GA 31794 Phone: 770-355-2064 Fax: 229-238-3940 | |
Allhealth Choice, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 242 2nd St E Ste B, Tifton, GA 31794 Phone: 404-996-0086 | |