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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