OrganizationActive
Tifton Addiction Associates, LLC. D/B/A Tlc Clinic
NPI 1821393380 · Addiction Medicine (Psychiatry & Neurology) Physician · Tifton, GA
Provider details
- NPI number
- 1821393380
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jonathan Connell, Managing Member(229) 382-7898
- License
- NTP001047 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Pharmacy Service Providers
Allopathic & Osteopathic Physicians
Practice location
2402 North Tift Ave Suite 202
Tifton, GA 31794
Phone: (229) 382-7898
Approximate (ZIP-level) locationGet directions
Mailing address
2402 Tift Ave N Ste 202
Tifton, GA 31794-1885
Registry dates
- Enumerated
- 2011-01-14
- Last updated
- 2011-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.