Organization · Type 2 NPI
Tifton Addiction Associates, Llc. D/b/a TLC Clinic
Addiction Medicine (Psychiatry & Neurology) Physician · Tifton, GA
Practice location
2402 North Tift Ave Suite 202
Tifton, GA 31794
Mailing address
2402 Tift Ave N Ste 202
Tifton, GA 31794-1885
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | PHOP000045 (GA) |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | NTP001047 (GA) |
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | NTP001047 (GA) |
| Addiction Psychiatry Physician | 2084P0802X | NTP001047 (GA) |
Addiction Medicine (Psychiatry & Neurology) Physician: 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
Other addiction medicine (psychiatry & neurology) physician providers in Tifton
About NPI 1821393380
Tifton Addiction Associates, Llc. D/b/a TLC Clinic's National Provider Identifier is 1821393380, issued on Jan 14, 2011. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Tifton, GA. The record was last updated on Jan 14, 2011.