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Organization
TIFT REGIONAL HEALTH SYSTEM INC
Active
Organization
TIFT REGIONAL HEALTH SYSTEM INC
Active
Other names
Tift Regional Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DORMAN (PRESIDENT/CEO)
(229) 353-6104
Entity
Organization
Contact information
Practice address
2227 US HIGHWAY 41 N, TIFTON, GA 31794-2749
(229) 386-4200
(229) 386-5571
Mailing address
PO BOX 2650, TIFTON, GA 31793-2650
(229) 353-3422
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
261QP3300X
Pain Clinic/Center
026452
GA
Other
Enumeration date
09/17/2012
Last updated
11/07/2025
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