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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