Organization
TIFT REGIONAL HEALTH SYSTEM INC
Active
Other names
Tift Regional Wound Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DORMAN (PRESIDENT/CEO)
(229) 353-6104
Entity
Organization
Contact information
Practice address
907 18TH ST E, SUITE 140, TIFTON, GA 31794-3643
(229) 353-4325
Mailing address
PO BOX 2650, TIFTON, GA 31793-2650
(229) 353-3422
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
031888
GA
Other
Enumeration date
12/11/2014
Last updated
06/24/2022
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