# TIFT REGIONAL HEALTH SYSTEM INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tift Regional Anesthesia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396095428
- **Authorized official:** CHRISTOPHER DORMAN (PRESIDENT/CEO)
- **Authorized official phone:** (229) 353-6104

## Contact information

- **Practice address:** 2227 US HIGHWAY 41 N, TIFTON, GA 31794-2749
- **Practice address phone:** (229) 386-4200
- **Practice address fax:** (229) 386-5571
- **Mailing address:** PO BOX 2650, TIFTON, GA 31793-2650
- **Mailing address phone:** (229) 353-3422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 261QP3300X | Pain Clinic/Center | 026452 | GA | — |

## Other

- **Enumeration date:** 09/17/2012
- **Last updated:** 11/07/2025