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Organization
TIFT EYE CARE, LLC
Active
Organization
TIFT EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALTA M LEBECK LDO (MANAGER)
(229) 382-4441
Entity
Organization
Contact information
Practice address
363 MAIN ST S, TIFTON, GA 31794-4813
(229) 382-4441
(229) 386-0211
Mailing address
363 MAIN ST S, TIFTON, GA 31794-4813
(229) 382-4441
(229) 386-0211
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
LDO002502
GA
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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