Individual
JEREMY PARADICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 382-7120
Mailing address
441 WHITTINGTON LN, MOULTRIE, GA 31788-1393
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1396430450
GA
207R00000X
Internal Medicine Physician
Primary
15041
GA
208D00000X
General Practice Physician
Primary
1396430450
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2023
Last updated
06/08/2026
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