Tiftarea Cardiology

NPI 1053487462 - Internal Medicine - 207RI0011X

NPI Details
NPI 1053487462
Enumeration Date 11/28/2006
Last Updated 04/04/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name WILLIAM WALTER WILLIAM
Position OWNER/MD
Phone (229) 391-9980
Fax (229) 391-9984
Practice Location
907 E. 18TH ST
STE 100
TIFTON GA, 31794, US
Phone (229) 391-9980
Fax (229) 391-9984
Business Location
907 E. 18TH ST
STE 100
TIFTON GA, 31794, US
Phone (229) 391-9980
Fax (229) 391-9984
Toxanomy
Taxonomy Code 207RI0011X
License State Georgia
License Number 047089
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According to our database, Tiftarea Cardiology NPI is 1053487462, taxonomy code is 207RI0011X and license number is 047089, license state is located at Georgia. Tiftarea Cardiology physically located at 907 E. 18th St, Tifton GA, 31794. NPI Number 1033115704 has the healthcare provider type.

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1053487462 NPI number is provided on an as is basis without warranty of any kind. 1053487462 is maintained by the National Plan & Provider Enumeration System. The contents of Tiftarea Cardiology are for informational purposes only.