Staub, Rebecca Condon

Staub, Rebecca Condon is an individual health care provider with primary practice located at 39 Kent Rd Ste 5 , Tifton GA 31794-1697. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Staub, Rebecca Condon can be contacted via phone (229) 353-7337.

Contact Information

Primary practice address
39 Kent Rd Ste 5 Tifton GA 31794-1697
Phone: (229) 353-7337
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 075158 Georgia

Profile Details

NPI number 1184042228
LBN Legal business name Staub, Rebecca Condon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2014
Last updated Oct 20th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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