Organization
TIFT REGIONAL HEALTH SYSTEM, INC
Active
Organization
TIFT REGIONAL HEALTH SYSTEM, INC
Active
Other names
Southwell Medical, Cook Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DORMAN (PRESIDENT/CEO)
(229) 353-6104
Entity
Organization
Contact information
Practice address
260 MJ TAYLOR RD, ADEL, GA 31620-3485
(229) 896-8000
Mailing address
260 MJ TAYLOR RD, ADEL, GA 31620-3485
(229) 896-8000
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
037-597
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001251S
—
GA
Enumeration date
01/25/2007
Last updated
06/24/2022
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