Organization
OPEN MRI OF TIFTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER O HOLLIDAY III MD (DIRECTOR)
(478) 314-5002
Entity
Organization
Contact information
Practice address
1401 TIFT AVE N STE E, TIFTON, GA 31794-3577
(229) 387-6799
(229) 387-6791
Mailing address
PO BOX 4003, MACON, GA 31208-4003
(478) 314-5009
(478) 755-9964
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003144064A
—
GA
05
—
300035136B
—
GA
Enumeration date
03/14/2006
Last updated
02/24/2026
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