TIFTAREA ENDOSCOPY CENTER, INC.; NPI #1508896705

Contact Information

TIFTAREA ENDOSCOPY CENTER, INC.

907 E. 18TH STREET
SUITE 460
TIFTON, GA 31794

Phone: 229-391-3625
Fax: 229-391-3639
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for TIFTAREA ENDOSCOPY CENTER, INC.

NPI # 1508896705

LBN Legal business name TIFTAREA ENDOSCOPY CENTER, INC.

Authorized official MICHAEL DAWSON - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/03/2006

Last updated 07/14/2010 - About 16 years ago

Identifiers

GA	License #	136-156
GA	Medicaid	00818892A
GA	Other	136156	DHR LICENSE

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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TIFTAREA ENDOSCOPY CENTER, INC.

Contact Information

Specialty

Ambulatory Surgical

NPI Profile & details for TIFTAREA ENDOSCOPY CENTER, INC.

Reviews for TIFTAREA ENDOSCOPY CENTER, INC.