Organization
TIFT REGIONAL HEALTH SYSTEM INC
Active
Organization
TIFT REGIONAL HEALTH SYSTEM INC
Active
Other names
Tift Regional Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DORMAN (PRESIDENT/CEO)
(229) 353-6104
Entity
Organization
Contact information
Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 353-3400
(229) 391-3332
Mailing address
PO BOX 2650, TIFTON, GA 31793-2650
(229) 353-3402
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23975
GA
Other
Enumeration date
09/03/2009
Last updated
06/24/2022
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