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Applecare LLC

Clinic/Center in Tifton, GA. Organization (NPI-2).

NPI number1487319380
StatusActive
Last updated in NPPESNov 4, 2021

Details

NPI
1487319380
Entity type
Organization (NPI-2)
Legal business name
Applecare LLC
Organization subpart
No
Enumeration date
Nov 4, 2021
Certification date
Nov 4, 2021
Last updated
Nov 4, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

1430 Us Highway 82 W Ste 105
Tifton, GA 31793-8010

Phone 229-388-0266

Mailing address

401 Mall Blvd Ste 202e
Savannah, GA 31406-4834

Phone 912-349-4945 · Fax 912-349-4105

Authorized official

Heidi Nash
Provider Credentialing
9123494945

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