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Contact Information

FAMILY PRACTICE ASSOCIATES OF TIFTAREA
612 LOVE AVE
TIFTON, GA31794
 Phone: 229-391-3300
 Fax: 229-388-1948
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for FAMILY PRACTICE ASSOCIATES OF TIFTAREA · (Female)

NPI Number 1336692599
Status Active
Credentials
Entity Individual
Enumeration date 07/25/2016
Last updated 07/25/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # RN089222
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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