Organization
TIFT REGIONAL HEALTH SYSTEM INC
Active
Other names
Southwell ENT
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DORMAN (CEO)
(229) 353-6121
Entity
Organization
Contact information
Practice address
39 KENT RD STE 2, TIFTON, GA 31794-1697
(229) 353-4368
(229) 396-4228
Mailing address
PO BOX 2650, TIFTON, GA 31793-2650
(229) 353-3422
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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