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Organization
LORA FULP EFAW MD PC
Active
Organization
LORA FULP EFAW MD PC
Active
Other names
Center for Healing and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORA EFAW M.D. (PHYSICIAN)
(229) 388-9393
Entity
Organization
Contact information
Practice address
1807 OLD OCILLA RD, TIFTON, GA 31794-1617
(229) 388-9393
(229) 388-9855
Mailing address
1807 OLD OCILLA RD, TIFTON, GA 31794-1617
(229) 388-9393
(229) 388-9855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036727
GA
Other
Enumeration date
07/13/2007
Last updated
06/17/2008
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