Southwell Ambulatory Inc | |
901 18th St E Tifton GA 31794-3648 | |
(229) 382-7120 | |
Not Available |
Full Name | Southwell Ambulatory Inc |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 901 18th St E, Tifton, Georgia |
Authorized Official Name and Position | Troy Brooks (SVP/CFO) |
Authorized Official Contact | 2293533397 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southwell Ambulatory Inc 907 18th St E Ste 400 Tifton GA 31794-3684 Ph: (229) 353-3422 | Southwell Ambulatory Inc 901 18th St E Tifton GA 31794-3648 Ph: (229) 382-7120 |
NPI Number | 1306466206 |
---|---|
Provider Enumeration Date | 04/21/2020 |
Last Update Date | 10/18/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306466206 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (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 | |