Organization
TIFT REGIONAL HEALTH SYSTEM INC
Active
Other names
Southwell Pediatrics Ocilla
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DORMAN (PRESIDENT/CEO)
(229) 353-6121
Entity
Organization
Contact information
Practice address
501 N IRWIN AVE STE A, OCILLA, GA 31774-5007
(229) 468-7323
(229) 468-7320
Mailing address
PO BOX 2650, TIFTON, GA 31793-2650
(229) 353-3422
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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