Tiftarea Pediatrics

NPI #1154081271 in Tifton, Georgia

Provider Information

NPI Number: 1154081271
Entity Type: Organization
Organization Name: Tiftarea Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Dec 30, 2021
Last Updated: Nov 2, 2022

Practice Location

Address: 215 12TH ST W
City: Tifton
State: Georgia
ZIP Code: 31794-3923
Phone: (912) 690-4043

Authorized Official

Name: MARK WILSON, MD
Title: CO-OWNER
Phone: (229) 396-5335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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