| Gowdy Enterprises | |
|
2406 Tift Ave N Suite 202 Tifton GA 31794-1886 | |
| (770) 355-2064 | |
| (229) 238-3940 |
| Full Name | Gowdy Enterprises |
|---|---|
| Speciality | Internal Medicine |
| Location | 2406 Tift Ave N, Tifton, Georgia |
| Authorized Official Name and Position | David Phillip Gowdy (PRESIDENT) |
| Authorized Official Contact | 7703552064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gowdy Enterprises Po Box 1404 Alpharetta GA 30009-1404 Ph: (770) 355-2064 | Gowdy Enterprises 2406 Tift Ave N Suite 202 Tifton GA 31794-1886 Ph: (770) 355-2064 |
| NPI Number | 1184927972 |
|---|---|
| Provider Enumeration Date | 12/16/2010 |
| Last Update Date | 12/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184927972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 34601 (Georgia) | Primary |
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