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Organization
TIFT REGIONAL HEALTH SYSTEM, INC.
Active
Organization
TIFT REGIONAL HEALTH SYSTEM, INC.
Active
Other names
Cook Medical Center, Southwell Medical
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DORMAN (PRESIDENT/CEO)
(229) 353-6104
Entity
Organization
Contact information
Practice address
260 MJ TAYLOR RD, ADEL, GA 31620-3485
(229) 896-8159
Mailing address
PO BOX 2650, TIFTON, GA 31793-2650
(229) 402-0425
(229) 391-4059
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000001251A
—
GA
05
—
00001251A
—
GA
01
—
000306
BLUE CROSS
GA
01
—
037-681
STATE LICENSE
GA
Enumeration date
05/04/2006
Last updated
08/24/2026
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