Family Practice Assoicates Llc in Tifton - General Practice
Family Practice Assoicates Llc - NPI 1972725216
Family Practice Assoicates Llc is a General Practice in Tifton, Georgia. Family Practice Assoicates Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Family Practice Assoicates Llc is 1972725216. The last update date is 2015-05-08.
Family Practice Assoicates Llc's current location address is 612 Love Ave, Tifton, Georgia. You can contact this provider via phone number 2293913300 and fax number 2293881948. The mailing address for Family Practice Assoicates Llc is 612 Love Ave, Tifton, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Family Practice Assoicates Llc |
|---|---|
| Address | 612 Love Ave, Tifton, Georgia |
| Phone Number | 2293913300 |
| Fax Number | 2293881948 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE O |
|---|---|
| Authorized Official Name | Johnson David Carl |
| Credentials | MD |
| Telephone Number | 2293913300 |
NPI Number Detail
| NPI Number | 1972725216 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2015-05-08 |
Provider Mailing Address Detail
| Address | 612 Love Ave |
|---|---|
| City | Tifton |
| State | Georgia (GA) |
| Post Code | 31794 |
| Phone Number | 2293913300 |
| Fax Number | 2293881948 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 28796 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 85002772G | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Family Practice Assoicates Llc by the Centers for Medicare & Medicaid Services?
The Family Practice Assoicates Llc has been assigned the NPI (National Provider Identifier) 1972725216 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Family Practice Assoicates Llc?
The Family Practice Assoicates Llc is physically situated at 612 Love Ave, in the city of Tifton, state of GA, with the postal code 31794.
What is Family Practice Assoicates Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Family Practice Assoicates Llc's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1972725216 to Family Practice Assoicates Llc?
The Centers for Medicare & Medicaid Services assigned the 1972725216 to Family Practice Assoicates Llc on 2007-05-03.
When was the information regarding Family Practice Assoicates Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Family Practice Assoicates Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-05-08.