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72 Kent Rd Ste 7 Tifton GA 31794-1695 | |
(478) 374-6662 | |
(478) 374-6663 |
Full Name | |
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Speciality | Clinic/center |
Location | 72 Kent Rd Ste 7, Tifton, Georgia |
Authorized Official Name and Position | Tammy T Peterson (CFO) |
Authorized Official Contact | 4783746662 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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718 Medical Center Dr Eastman GA 31023-6736 Ph: (478) 374-6662 | 72 Kent Rd Ste 7 Tifton GA 31794-1695 Ph: (478) 374-6662 |
NPI Number | 1508620618 |
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Provider Enumeration Date | 02/08/2024 |
Last Update Date | 11/15/2024 |
Identifier | Type | State | Issuer |
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1508620618 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (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 | |