Organization
TIFTAREA UROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFRY J PETERS (VICE PRESIDENT)
(229) 391-3535
Entity
Organization
Contact information
Practice address
1815 OLD OCILLA RD, TIFTON, GA 31794-1617
(229) 391-3535
(229) 391-3529
Mailing address
1815 OLD OCILLA RD, TIFTON, GA 31794-1617
(229) 391-3535
(229) 391-3529
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
040514
GA
Other
Enumeration date
12/13/2006
Last updated
05/13/2015
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