| The Orthopedic Spine Center | |
|
1622 Madison Ave Tifton GA 31794-3756 | |
| (229) 388-5625 | |
| Not Available |
| Full Name | The Orthopedic Spine Center |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 05/18/2010 |
| Last Update Date | 05/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558680462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 048965 (Georgia) | Primary |
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Careconnect Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1805 Tift Ave N Ste D, Tifton, GA 31794 Phone: 229-382-5554 Fax: 229-382-0530 | |
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