NPI 1366621211

Allergy & Dermatology Associates of Tifton PC

Organisation Specialist Tifton, GA

Practice location

Address: 820 Love Avenue Suite a, Tifton, GA 31794
Phone: (229) 382-3720
Fax: (229) 382-3722

Authorised official

Name: Henry Clayton Dorminey
Title: Owner
Phone: (229) 382-3720

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 023352 (GA)

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Registry record

NPI: 1366621211
Entity type: Organization
NPI issued: 29 Oct 2007
Record last updated: 26 Jul 2013

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.