Organization
LORA FULP EFAW MD PC
Active
Other names
Center for Healing and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORA EFAW M.D. (PHYSICIAN)
(229) 388-9393
Entity
Organization
Contact information
Practice address
1807 OLD OCILLA RD, TIFTON, GA 31794-1617
(229) 388-9393
(229) 388-9855
Mailing address
1807 OLD OCILLA RD, TIFTON, GA 31794-1617
(229) 388-9393
(229) 388-9855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036727
GA
Other
Enumeration date
07/13/2007
Last updated
06/17/2008
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