Organization
TIFT REGIONAL HEALTH SYSTEM INC
Active
Other names
Affinity Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DORMAN (PRESIDENT/CEO)
(229) 353-6104
Entity
Organization
Contact information
Practice address
39 KENT RD STE 5, TIFTON, GA 31794-1697
(229) 353-7337
(229) 391-4051
Mailing address
PO BOX 2650, TIFTON, GA 31793-2650
(229) 353-3422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
GA
207R00000X
Internal Medicine Physician
—
GA
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
Primary
—
GA
2084N0400X
Neurology Physician
—
GA
Other
Enumeration date
03/08/2010
Last updated
11/06/2025
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