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NPI Code Detail

MEDICARE: CLIFFORD J TUMAMBING MD

MEDICARE:   CLIFFORD J TUMAMBING  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianLL31844SC
2208M00000XHospitalist Physician68326GA
3207Q00000XFamily Medicine Physician68326GA

General Provider Information

NPI Number : 1992934640
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLIFFORD J TUMAMBING MD
Provider Business Mailing Address
First Line : 1698 VERNON RD
Second Line :
City : LAGRANGE
State : GA
Zip : 30240-4100
Country : US
Telephone Number : 706-298-4937
Fax Number :
Provider Business Practice Location Address
First Line : 1698 VERNON RD
Second Line :
City : LAGRANGE
State : GA
Zip : 30240-4100
Country : US
Telephone Number : 706-298-4937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2009
Last Update Date : 03/21/2024

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Directions to “ CLIFFORD J TUMAMBING MD” Practice Location

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