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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

NPI Number 1568499762
LBN Legal business name TIFT INTERNAL MEDICINE CTR
Authorized official BRENT SAVELLI - (OWNER PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 06/26/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
GA License # 044086
GA Medicaid 00760812D
GA Other 0401686 UNITED HEALTHCARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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