Organization
TIFTON PATHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA W BEIER M.D. (CEO)
(229) 353-7535
Entity
Organization
Contact information
Practice address
907 18TH ST E, TIFTON, GA 31794-3643
(229) 353-7535
Mailing address
PO BOX 7442, TIFTON, GA 31793-7442
(229) 353-7535
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
035467
GA
291U00000X
Clinical Medical Laboratory
044378
GA
291U00000X
Clinical Medical Laboratory
Primary
20344
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300023175A
—
GA
Enumeration date
03/23/2006
Last updated
02/21/2012
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