Organization
TIFT REGIONAL HEALTH SYSTEM INC
Active
Other names
Tift Regional Vascular
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DORMAN (PRESIDENT/CEO)
(229) 353-6104
Entity
Organization
Contact information
Practice address
1641 MADISON AVE, TIFTON, GA 31794-3757
(229) 353-2284
(229) 353-2285
Mailing address
PO BOX 2650, TIFTON, GA 31793-2650
(229) 353-3422
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
01/07/2016
Last updated
06/24/2022
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