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Organization
TIFT REGIONAL HEALTH SYSTEM INC
Active
Organization
TIFT REGIONAL HEALTH SYSTEM INC
Active
Other names
Southwell Primary Care Ocilla
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DORMAN (PRESIDENT/CEO)
(229) 353-6121
Entity
Organization
Contact information
Practice address
501 N IRWIN AVE STE B, OCILLA, GA 31774-5007
(229) 353-2250
Mailing address
PO BOX 2650, TIFTON, GA 31793-2650
(229) 353-3422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/31/2026
Last updated
08/31/2026
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