Lora Fulp Efaw MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036727 Issued in GA

Legal business name

LORA FULP EFAW MD PC

Doing business as

Center for Healing and Wellness

Practice address

1807 Old Ocilla Rd
Tifton, GA 31794-1617

Phone

(229) 388-9393

Fax

(229) 388-9855

NPI assigned

Jul 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lora Efaw, M.D.

Title

Physician

Phone

(229) 388-9393

Specialties & licenses 1

Addresses

Other names 1

• Center for Healing and Wellness Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1902005689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 OLD OCILLA RD",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941617",
            "telephone_number": "229-388-9393",
            "fax_number": "229-388-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 OLD OCILLA RD",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941617",
            "telephone_number": "229-388-9393",
            "fax_number": "229-388-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORA FULP EFAW MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "EFAW",
        "authorized_official_first_name": "LORA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "229-388-9393",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "036727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Healing and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Tifton, GA
• Providers in Tifton, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.