Tifton Family Medicine, Pc | |
902 18th St East Tifton GA 31794 | |
(229) 382-6414 | |
Not Available |
Full Name | Tifton Family Medicine, Pc |
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Speciality | Family Medicine |
Location | 902 18th St East, Tifton, Georgia |
Authorized Official Name and Position | Marcus C Roberts (OWNER) |
Authorized Official Contact | 2293826414 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tifton Family Medicine, Pc 3025 Breckinridge Blvd Suite 120 Duluth GA 30096 Ph: (678) 226-0022 | Tifton Family Medicine, Pc 902 18th St East Tifton GA 31794 Ph: (229) 382-6414 |
NPI Number | 1134225501 |
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Provider Enumeration Date | 09/15/2006 |
Last Update Date | 11/12/2007 |
Medicare PECOS PAC ID | 2365430410 |
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Medicare Enrollment ID | O20040505001428 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134225501 | NPI | - | NPPES |
CL2838 | Other | GA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 035986 (Georgia) | Primary |
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 | |