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39 Kent Rd Suite 2 Tifton GA 31794-1697 | |
(229) 388-9393 | |
(229) 388-9855 |
Full Name | |
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Speciality | Family Medicine |
Location | 39 Kent Rd, Tifton, Georgia |
Authorized Official Name and Position | Christopher Dorman (PRESIDENT/CEO) |
Authorized Official Contact | 2293536104 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 2650 Tifton GA 31793-2650 Ph: (229) 353-3422 | 39 Kent Rd Suite 2 Tifton GA 31794-1697 Ph: (229) 388-9393 |
NPI Number | 1124679014 |
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Provider Enumeration Date | 09/23/2019 |
Last Update Date | 06/24/2022 |
Identifier | Type | State | Issuer |
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1124679014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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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 | |