Organization
FAMILY PRACTICE ASSOCIATES OF TIFTAREA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTY BLANCHETT BBA-HM (PRACTICE MANAGER)
(229) 391-3300
Entity
Organization
Contact information
Practice address
612 LOVE AVE, TIFTON, GA 31794
(229) 391-3300
(229) 388-1948
Mailing address
612 LOVE AVE, TIFTON, GA 31794
(229) 391-3300
(229) 388-1948
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN089222
GA
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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