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1841696879
TIFTON CLINIC LLC
TIFTON, GA
NPI
1841696879
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Entity Type
Organization
Authorized Contact
WENDELL L SIMS
COO
229-890-3531
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2014-11-19
Last Update Date
2014-11-19
Business Address
TIFTON CLINIC LLC
1623 OLD OCILLA RD
TIFTON, GA 31794-4173
Phone number: 229-891-9131
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Mailing Address
TIFTON CLINIC LLC
PO BOX 2876
MOULTRIE, GA 31776-2876
Phone number: 229-891-9131
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