Organization
TIFT REGIONAL HEALTH SYSTEM INC.
Active
Other names
Tift Regional Optical
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DORMAN (PRESIDENT/CEO)
(229) 353-6104
Entity
Organization
Contact information
Practice address
1803 OLD OCILLA RD, TIFTON, GA 31794-1617
(229) 386-2181
Mailing address
PO BOX 2650, TIFTON, GA 31793-2650
(229) 353-3422
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
06/24/2022
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