Organization · NPI-2

I V Care Of Middle Georgia INC

Clinic/Center · Tifton, GA

NPI number1508620618
StatusActive
Last updated in NPPESNov 15, 2024

Details

NPI
1508620618
Entity type
Organization (NPI-2)
Legal business name
I V Care Of Middle Georgia INC
Organization subpart
Yes
Enumeration date
Feb 8, 2024
Certification date
Nov 15, 2024
Last updated
Nov 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Other names

  • I V Care Options (Doing Business As)

Practice location

72 Kent Rd Ste 7
Tifton, GA 31794-1695

Phone 478-374-6662 · Fax 478-374-6663

Mailing address

718 Medical Center Dr
Eastman, GA 31023-6736

Phone 478-374-6662 · Fax 478-374-6663

Authorized official

Tammy T Peterson
Cfo
4783746662

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