Family Practice Assoicates Llc | |
612 Love Ave Tifton GA 31794 | |
(229) 391-3300 | |
(229) 388-1948 |
Full Name | Family Practice Assoicates Llc |
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Speciality | General Practice |
Location | 612 Love Ave, Tifton, Georgia |
Authorized Official Name and Position | Carl David Johnson (PRACTICE OWNER/PHYSICIAN) |
Authorized Official Contact | 2293913300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Practice Assoicates Llc 612 Love Ave Tifton GA 31794 Ph: (229) 391-3300 | Family Practice Assoicates Llc 612 Love Ave Tifton GA 31794 Ph: (229) 391-3300 |
NPI Number | 1972725216 |
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Provider Enumeration Date | 05/03/2007 |
Last Update Date | 05/08/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972725216 | NPI | - | NPPES |
85002772G | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 28796 (Georgia) | 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 | |