NPI 1003305707
Harley's Endeavors, LLC
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
Legal Medicine (M.D./D.O.) Physician
Non-Pharmacy Dispensing Site
Durable Medical Equipment & Medical Supplies
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.