Organization
TIFT COUNTY HOSPITAL AUTHORITY
Active
Other names
Fitzgerald Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA A WILSON (VP PHYSICIAN SERVICES)
(229) 353-3403
Entity
Organization
Contact information
Practice address
246 BEN HILL DRIVE, FITZGERALD, GA 31750
(229) 423-2400
(229) 423-2472
Mailing address
907 18TH ST E, SUITE 150, TIFTON, GA 31794-3643
(229) 423-2400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
030071
GA
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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