Organization
TIFT INTERNAL MEDICINE CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT ALAN SAVELLI MD (OWNER PHYSICIAN)
(229) 391-3555
Entity
Organization
Contact information
Practice address
907 E 18TH ST, STE 340, TIFTON, GA 31794
(229) 391-3555
(229) 391-3560
Mailing address
907 E 18TH ST, STE 340, TIFTON, GA 31794
(229) 391-3555
(229) 391-3560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
044086
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00760812D
—
GA
01
—
0401686
UNITED HEALTHCARE
GA
Enumeration date
06/26/2006
Last updated
08/22/2020
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