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Contact Information

TIFT INTERNAL MEDICINE CTR
907 E 18TH ST
STE 340
TIFTON, GA31794
 Phone: 229-391-3555
 Fax: 229-391-3560
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for TIFT INTERNAL MEDICINE CTR · (Female)

NPI Number 1568499762
Status Active
Credentials
Entity Individual
Enumeration date 06/26/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 044086
  • GA Medicaid 00760812D
  • GA Other 0401686 UNITED HEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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