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Organization

JAMES H TISON MD PC

Active
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Organization

JAMES H TISON MD PC

Active
Parent organization
JAMES H TISON MD PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
JAMES H TISON MD PC
Authorized official
JAMES TISON MD (PRESIDENT)
(478) 374-5582
Entity
Organization

Contact information

Practice address
911 PLAZA AVE, EASTMAN, GA 31023-6785
(478) 374-5582
(478) 374-3756
Mailing address
911 PLAZA AVE, EASTMAN, GA 31023-6785
(478) 374-5582
(478) 374-3756

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
015516
GA

Other

Enumeration date
10/19/2007
Last updated
10/19/2007
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