Tifton Clinic Llc | |
1623 Old Ocilla Rd Tifton GA 31794-4173 | |
(229) 891-9131 | |
Not Available |
Full Name | Tifton Clinic Llc |
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Speciality | Family Medicine |
Location | 1623 Old Ocilla Rd, Tifton, Georgia |
Authorized Official Name and Position | Wendell L Sims (COO) |
Authorized Official Contact | 2298903531 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tifton Clinic Llc Po Box 2876 Moultrie GA 31776-2876 Ph: (229) 891-9131 | Tifton Clinic Llc 1623 Old Ocilla Rd Tifton GA 31794-4173 Ph: (229) 891-9131 |
NPI Number | 1841696879 |
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Provider Enumeration Date | 11/19/2014 |
Last Update Date | 11/19/2014 |
Identifier | Type | State | Issuer |
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1841696879 | 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 | |