# LORA FULP EFAW MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Center for Healing and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902005689
- **Authorized official:** MRS. LORA EFAW M.D. (PHYSICIAN)
- **Authorized official phone:** (229) 388-9393

## Contact information

- **Practice address:** 1807 OLD OCILLA RD, TIFTON, GA 31794-1617
- **Practice address phone:** (229) 388-9393
- **Practice address fax:** (229) 388-9855
- **Mailing address:** 1807 OLD OCILLA RD, TIFTON, GA 31794-1617
- **Mailing address phone:** (229) 388-9393
- **Mailing address fax:** (229) 388-9855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 036727 | GA | Yes |

## Other

- **Enumeration date:** 07/13/2007
- **Last updated:** 06/17/2008