Organization
TIFT REGIONAL HEALTH SYSTEM INC
Active
Other names
Southwell Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DORMAN (CEO)
(229) 353-6121
Entity
Organization
Contact information
Practice address
1499 KENNEDY RD STE C, TIFTON, GA 31794-4177
(229) 238-3034
(229) 238-3027
Mailing address
PO BOX 2650, TIFTON, GA 31793-2650
(229) 353-3422
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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