Individual
DR. WILLIAM L TIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 PROFESSIONAL DR, MACON, GA 31201-1441
(478) 741-3007
(478) 744-3481
Mailing address
550 PROFESSIONAL DR, MACON, GA 31201-1441
(478) 741-3007
(478) 744-3481
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
015329
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000511475A
—
GA
Enumeration date
10/23/2006
Last updated
03/10/2011
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