Organization
TIFTAREA ENDOSCOPY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J. DAWSON M.D. (PRESIDENT)
(229) 391-3625
Entity
Organization
Contact information
Practice address
907 E. 18TH STREET, SUITE 460, TIFTON, GA 31794
(229) 391-3625
(229) 391-3639
Mailing address
907 E. 18TH STREET, SUITE 460, TIFTON, GA 31794
(229) 391-3625
(229) 391-3639
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
136-156
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00818892A
—
GA
01
—
136156
DHR LICENSE
GA
Enumeration date
07/03/2006
Last updated
07/14/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us