TIFTON ADDICTION ASSOCIATES LLC. D/B/A TLC CLINIC NPI 1821393380

NPI Information

NPI: 1821393380
Provider Name: TIFTON ADDICTION ASSOCIATES, LLC. D/B/A TLC CLINIC
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
2402 NORTH TIFT AVE SUITE 202
TIFTON, GA
ZIP 31794
Phone: (229) 382-7898
Get Directions

TIFTON ADDICTION ASSOCIATES, LLC. D/B/A TLC CLINIC is an addiction medicine psychiatry neurology in Tifton, GA. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine TIFTON ADDICTION ASSOCIATES, LLC. D/B/A TLC CLINIC NPI is 1821393380. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2402 NORTH TIFT AVE SUITE 202
TIFTON, GA
ZIP 31794
Phone: (229) 382-7898

The provider's authorized official is Jonathan Paul Connell .
The authorized official title is Managing Member and has the following contact phone number (229) 382-7898.

The enumeration date for this NPI number is 1/14/2011 and was last updated on 1/14/2011.

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
1	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	NTP001047	GEORGIA	No
2	1835P1200X	Pharmacist	Pharmacotherapy	PHOP000045	GEORGIA	No
3	207QA0401X	Family Medicine	Addiction Medicine	NTP001047	GEORGIA	No
4	2084A0401X	Psychiatry & Neurology	Addiction Medicine	NTP001047	GEORGIA	Yes

What is NPI?

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

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