Organization Name: | TIFT COUNTY HOSPITAL AUTHORITY |
NPI Number: | 1033343066 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA A WILSON (DIRECTOR PHYSICIAN SERVICES) |
Mailing Address: | 1007 Greenfield Dr Tifton |
State: | GA US |
Postal Code: | 317943795 |
Phone Number: | 2293829733 |
Fax Number: | |
NPI Enumeration Date: | 05/05/2009 |
NPI Last Update Date: | 03/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | 029320 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |