Organization
TIFTAREA SURGICAL PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DREW DORMINEY (ADMINISTRATOR)
(229) 387-1185
Entity
Organization
Contact information
Practice address
1610 JOHN ORR DR, SUITE H, TIFTON, GA 31794-3682
(229) 387-1185
Mailing address
PO BOX 629, PERRY, GA 31069-0629
(229) 387-1185
(229) 382-6191
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2012
Last updated
03/12/2013
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