# TIFT REGIONAL HEALTH SYSTEM INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southwell Center for Healing and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124679014
- **Authorized official:** CHRISTOPHER DORMAN (PRESIDENT/CEO)
- **Authorized official phone:** (229) 353-6104

## Contact information

- **Practice address:** 39 KENT RD, SUITE 2, TIFTON, GA 31794-1697
- **Practice address phone:** (229) 388-9393
- **Practice address fax:** (229) 388-9855
- **Mailing address:** PO BOX 2650, TIFTON, GA 31793-2650
- **Mailing address phone:** (229) 353-3422
- **Mailing address fax:** (229) 353-6060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/23/2019
- **Last updated:** 06/24/2022