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LORA FULP EFAW MD PC NPI 1902005689


NPI Information

NPI: 1902005689
Provider Name: LORA FULP EFAW MD PC

Doing Business As: CENTER FOR HEALING AND WELLNESS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1807 OLD OCILLA RD
TIFTON, GA
ZIP 31794
Phone: (229) 388-9393
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LORA FULP EFAW MD PC is a family medicine in Tifton, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LORA FULP EFAW MD PC NPI is 1902005689. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Center For Healing And Wellness.

The provider's business location address is:

1807 OLD OCILLA RD
TIFTON, GA
ZIP 31794-617
Phone: (229) 388-9393
Fax: (229) 388-9855

The provider's authorized official is Lora Efaw .
The authorized official title is Physician and has the following contact phone number (229) 388-9393.

The enumeration date for this NPI number is 7/13/2007 and was last updated on 6/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine036727GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G54477MEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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