Organization
TIFT REGIONAL HEALTH SYSTEM, INC.
Active
Other names
Cook Medical Center, Southwell Medical
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) 896-8159
Mailing address
260 MJ TAYLOR RD, ADEL, GA 31620-3485
(229) 896-8000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001251A
—
GA
01
—
000306
BLUE CROSS
GA
Enumeration date
05/04/2006
Last updated
06/24/2022
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