Tifton Endoscopy Center, Inc.

LBN: Tifton Endoscopy Center, Inc.
Tifton Endoscopy Center, Inc. is an health care organization with primary practice located at 1111 20Th St E , Tifton GA 31794-3689. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Tifton Endoscopy Center, Inc. can be contacted via phone (229) 382-9338, or through Cleghorn, Elaine via phone (229) 382-9338.

Contact Information

Primary practice address
1111 20Th St E Tifton GA 31794-3689
Phone: (229) 382-9338
Fax: (229) 382-4282
Website:
Map and Directions
Authorized official contact:
Name: Cleghorn, Elaine
Phone: (229) 382-9338

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 111094ASCA Georgia

Profile Details

NPI number 1063512945
LBN Legal business name Tifton Endoscopy Center, Inc.
DBA Doing business as
Authorized official Cleghorn, Elaine
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 16th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063512945 NPPES
Georgia MEDICAID 00755675A

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