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Organization
TIFT REGIONAL HEALTH SYSTEM INC
Active
Organization
TIFT REGIONAL HEALTH SYSTEM INC
Active
Other names
Southwell Mobile Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KIM WILLS (SVP, CFO)
(229) 353-3397
Entity
Organization
Contact information
Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 382-7120
Mailing address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 382-7120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/21/2021
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