Individual
GEORGIA TIBBITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
17700 23 MILE RD, MACOMB, MI 48044-1154
(586) 416-7520
Mailing address
17700 23 MILE RD, MACOMB, MI 48044-1154
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101014022
MI
Other
Enumeration date
01/20/2016
Last updated
12/06/2016
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