Individual
FAUSTINE CEASOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 382-7120
(229) 353-7779
Mailing address
PO BOX 2650, TIFTON, GA 31793-2650
(229) 402-0425
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
110947
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
06/05/2026
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