Organization
TIFT REGIONAL HEALTH SYSTEM, INC.
Active
Organization
TIFT REGIONAL HEALTH SYSTEM, INC.
Active
Other names
Hospice of Tift Area
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DORMAN (PRESIDENT/CEO)
(229) 353-6104
Entity
Organization
Contact information
Practice address
618 CENTRAL AVE N, TIFTON, GA 31794-4336
(229) 353-6330
Mailing address
PO BOX 2650, TIFTON, GA 31793-2650
(229) 353-3422
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
137-180
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000407569A
—
GA
Enumeration date
09/07/2006
Last updated
09/28/2022
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