Organization
FAMILY HEALTH CENTER OF TIFTAREA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHAROLETT MITTIE ENGRAM (PRACTICE ADMINISTRATOR)
(229) 387-9205
Entity
Organization
Contact information
Practice address
2016 PINEVIEW AVE, TIFTON, GA 31794-3035
(229) 387-9205
(229) 387-9254
Mailing address
2016 PINEVIEW AVE, TIFTON, GA 31794-3035
(229) 387-9205
(229) 387-9254
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
049713
GA
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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