Tift Internal Medicine Ctr

LBN: Tift Internal Medicine Ctr
Tift Internal Medicine Ctr is an health care organization with primary practice located at 907 E 18Th St Ste 340, Tifton GA 31794. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Tift Internal Medicine Ctr can be contacted via phone (229) 391-3555, or through Savelli, Brent Alan via phone (229) 391-3555.

Contact Information

Primary practice address
907 E 18Th St Ste 340 Tifton GA 31794
Phone: (229) 391-3555
Fax: (229) 391-3560
Website:
Map and Directions
Authorized official contact:
Name: Savelli, Brent Alan Doctor of Medicine (MD)
Phone: (229) 391-3555

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 044086 Georgia

Profile Details

NPI number 1568499762
LBN Legal business name Tift Internal Medicine Ctr
DBA Doing business as
Authorized official Savelli, Brent Alan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568499762 NPPES
Georgia Other 0401686 UNITED HEALTHCARE
Georgia MEDICAID 00760812D UNITED HEALTHCARE

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