LORA FULP EFAW MD PC

TIFTON, GA
NPI1902005689
Doing Business AsCENTER FOR HEALING AND WELLNESS
Entity TypeOrganization
Authorized ContactLORA EFAW
Physician
229-388-9393
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  036727)
Enumeration Date2007-07-13
Last Update Date2008-06-17
Business Address
LORA FULP EFAW MD PC
1807 OLD OCILLA RD
TIFTON, GA 31794-1617
Phone number: 229-388-9393
Mailing Address
LORA FULP EFAW MD PC
1807 OLD OCILLA RD
TIFTON, GA 31794-1617
Phone number: 229-388-9393