The Orthopedic Spine Center | |
1622 Madison Ave Tifton GA 31794-3756 | |
(229) 388-5625 | |
Not Available |
Full Name | The Orthopedic Spine Center |
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Speciality | Clinic/center |
Location | 1622 Madison Ave, Tifton, Georgia |
Authorized Official Name and Position | Hewatt M Sims (OWNER/MANAGING MEMBER) |
Authorized Official Contact | 2293885625 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Orthopedic Spine Center 1622 Madison Ave Tifton GA 31794-3756 Ph: (229) 388-5625 | The Orthopedic Spine Center 1622 Madison Ave Tifton GA 31794-3756 Ph: (229) 388-5625 |
NPI Number | 1558680462 |
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Provider Enumeration Date | 05/18/2010 |
Last Update Date | 05/21/2010 |
Identifier | Type | State | Issuer |
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1558680462 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 048965 (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 | |