Organization
TIFT REGIONAL HEALTH SYSTEM INC
Active
Other names
WorkSmart Occupational Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY GLADDEN (PROVIDER ENROLLMENT MANAGER)
(229) 353-3402
Entity
Organization
Contact information
Practice address
4468 UNION RD, TIFTON, GA 31794-8331
(229) 353-6320
(229) 353-6343
Mailing address
4468 UNION RD, TIFTON, GA 31794-8331
(229) 353-6320
(229) 353-6343
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
137-180
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137-180
LICENSE NUMBER
GA
Enumeration date
11/20/2006
Last updated
11/21/2023
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