NPI 1437331006

Tifton Orthopaedic Clinic, PC

Organisation Specialist Tifton, GA

Practice location

Address: 1622 Madison Ave, Tifton, GA 31794-3756
Phone: (229) 386-0888
Fax: (229) 386-2245
Mailing address: 1622 Madison Avenue, Tifton, GA 31794-1228

Authorised official

Name: William L Hornback
Title: President
Phone: (229) 386-0888

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 20741 (GA)

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Registry record

NPI: 1437331006
Entity type: Organization
NPI issued: 5 Dec 2007
Record last updated: 5 Dec 2007

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.