Southern Elite Care Llc | |
1499 Kennedy Rd Ste B Tifton GA 31794-4177 | |
(229) 238-3034 | |
(229) 238-3027 |
Full Name | Southern Elite Care Llc |
---|---|
Speciality | Family Medicine |
Location | 1499 Kennedy Rd Ste B, Tifton, Georgia |
Authorized Official Name and Position | Jonathan W Tronolone (OWNER) |
Authorized Official Contact | 2292383034 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southern Elite Care Llc 1499 Kennedy Rd Ste B Tifton GA 31794-4177 Ph: (229) 238-3034 | Southern Elite Care Llc 1499 Kennedy Rd Ste B Tifton GA 31794-4177 Ph: (229) 238-3034 |
NPI Number | 1366265449 |
---|---|
Provider Enumeration Date | 11/06/2024 |
Last Update Date | 11/06/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366265449 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (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 | |