| Tifton Addiction Associates, Llc. D/b/a Tlc Clinic | |
|
2402 North Tift Ave Suite 202 Tifton GA 31794 | |
| (229) 382-7898 | |
| Not Available |
| Full Name | Tifton Addiction Associates, Llc. D/b/a Tlc Clinic |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 2402 North Tift Ave Suite 202, Tifton, Georgia |
| Authorized Official Name and Position | Jonathan Paul Connell (MANAGING MEMBER) |
| Authorized Official Contact | 2293827898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tifton Addiction Associates, Llc. D/b/a Tlc Clinic 2402 Tift Ave N Ste 202 Tifton GA 31794-1885 Ph: (229) 382-7898 | Tifton Addiction Associates, Llc. D/b/a Tlc Clinic 2402 North Tift Ave Suite 202 Tifton GA 31794 Ph: (229) 382-7898 |
| NPI Number | 1821393380 |
|---|---|
| Provider Enumeration Date | 01/14/2011 |
| Last Update Date | 01/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821393380 | NPI | - | NPPES |
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