Tifton Clinic Llc

LBN: Tifton Clinic Llc
Tifton Clinic Llc is an health care organization with primary practice located at 1623 Old Ocilla Rd , Tifton GA 31794-4173. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Tifton Clinic Llc can be contacted via phone (229) 891-9131, or through Sims, Wendell L via phone (229) 890-3531.

Contact Information

Primary practice address
1623 Old Ocilla Rd Tifton GA 31794-4173
Phone: (229) 891-9131
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sims, Wendell L
Phone: (229) 890-3531

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1841696879
LBN Legal business name Tifton Clinic Llc
DBA Doing business as
Authorized official Sims, Wendell L
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 19th, 2014
Last updated Nov 19th, 2014 - about 12 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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