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Organization
TIFT REGIONAL HEALTH SYSTEM INC
Active
Organization
TIFT REGIONAL HEALTH SYSTEM INC
Active
Other names
Southwell Center for Healing and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DORMAN (PRESIDENT/CEO)
(229) 353-6104
Entity
Organization
Contact information
Practice address
39 KENT RD, SUITE 2, TIFTON, GA 31794-1697
(229) 388-9393
(229) 388-9855
Mailing address
PO BOX 2650, TIFTON, GA 31793-2650
(229) 353-3422
(229) 353-6060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/23/2019
Last updated
06/24/2022
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