Tiftarea Pediatrics

Pediatrics Physician · Tifton, GA

Organization Active NPI

NPI number 1154081271

Practice location

215 12TH St W
Tifton, GA 31794-3923
Phone
(912) 690-4043

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NPI record

NPI
1154081271
Entity type
Organization (Type 2)
Enumeration date
December 30, 2021
Last updated
November 2, 2022
Certified
November 2, 2022
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X — —

Authorized official

Name
Mark Wilson, MD
Title
Co-Owner
Phone
(229) 396-5335

About Tiftarea Pediatrics

Tiftarea Pediatrics is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 215 12TH St W, Tifton, GA 31794-3923. The NPI number 1154081271 was assigned on December 30, 2021 and the record was last updated on November 2, 2022.

The authorized official for this organization is Mark Wilson, MD, Co-Owner.

Frequently asked questions

What is the NPI number of Tiftarea Pediatrics?

The NPI number is 1154081271.

What is the phone number of Tiftarea Pediatrics?

The phone number listed for the practice location is (912) 690-4043.

Where is Tiftarea Pediatrics located?

215 12TH St W, Tifton, GA 31794-3923.

What is the taxonomy code for Tiftarea Pediatrics?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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