National Provider Identifier Database

TIFTAREA ENDOSCOPY CENTER INC
Ambulatory Surgical


Contact Information

TIFTAREA ENDOSCOPY CENTER, INC.
907 E. 18TH STREET
SUITE 460
TIFTON, GA31794
Phone: 229-391-3625
Fax: 229-391-3639
Website:
Specialty Taxonomy Code
* Ambulatory Surgical 261QA1903X

* Indicates primary specialty

NPI Profile & details for TIFTAREA ENDOSCOPY CENTER, INC.

NPI Number 1508896705
Legal business name
LBN
TIFTAREA ENDOSCOPY CENTER, INC.
Authorized official MICHAEL DAWSON - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 07/03/2006
Last updated 07/14/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 136-156
  • GA Medicaid: 00818892A
  • GA Other: 136156 DHR LICENSE

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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