LORA FULP EFAW MD PC
Marriage and Family Therapists at Old Ocilla Rd, Tifton, GA

License number
Georgia 036727
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: MRS. LORA EFAW M.D.
Title: PHYSICIAN
Phone: (229) 388-9393
Address
Address
1807 Old Ocilla Rd, Tifton, GA 31794
National Provider ID: 1902005689
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LORA FULP EFAW, M.D., PC

39 Kent Rd SUITE 2, Tifton, GA 31794

Industry:
Medical Doctor's Office
Registration:
Feb 25, 2002
State ID:
0212285
Business type:
Domestic Professional Corporation
Medical Doctors:
Fulp Lora Efaw (Secretary), 39 Kent Roadsuite 2, Tifton, GA 31794 (Physical),Lora F. Efaw (Medical Doctor)
Agent:
Lora Fulp Efaw,4801 Frst Lk Dr, Tifton, GA (Physical)

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