Organization
TIFT REGIONAL HEALTH SYSTEM INC
Active
Other names
Georgia Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DORMAN (PRESIDENT/CEO)
(229) 353-6104
Entity
Organization
Contact information
Practice address
2227 US HIGHWAY 41 N, TIFTON, GA 31794-2749
(229) 386-5222
(229) 386-0900
Mailing address
PO BOX 2650, TIFTON, GA 31793-2650
(229) 353-3422
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
015420
GA
Other
Enumeration date
04/28/2015
Last updated
06/24/2022
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