Whalio Doctors

NPI 1003305707

Harley's Endeavors, LLC

Organisation Orthopaedic Surgery Physician Tifton, GA

Practice location

Address
1622 Madison Ave, Tifton, GA 31794-3756
Phone
(229) 387-8061
Fax
(229) 387-8064

Authorised official

Name
Hewatt McGraw Sims
Title
Owner
Phone
(229) 387-8061

Registered specialties (4)

Orthopaedic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207X00000X
Legal Medicine (M.D./D.O.) Physician
Allopathic & Osteopathic Physicians Taxonomy 209800000X
Non-Pharmacy Dispensing Site
Suppliers Taxonomy 332900000X
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X

Registry record

NPI
1003305707
Entity type
Organization
NPI issued
8 May 2018
Record last updated
7 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.