Organization
TIFT REGIONAL HEALTH SYSTEM INC
Active
Other names
Southwell Nephrology
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DORMAN (PRESIDENT/CEO)
(229) 353-6104
Entity
Organization
Contact information
Practice address
39 KENT RD STE 1, TIFTON, GA 31794-1697
(229) 391-4310
(229) 391-4243
Mailing address
PO BOX 2650, TIFTON, GA 31793-2650
(229) 353-3422
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
05/15/2020
Last updated
06/24/2022
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