Organization · Type 2 NPI

Tift Regional Health System Inc

Vascular Surgery Physician · Tifton, GA

NPI number 1184080079 Active

Practice location

1641 Madison Ave
Tifton, GA 31794-3757

Call (229) 353-2284 Map

Fax (229) 353-2285

Mailing address

PO Box 2650
Tifton, GA 31793-2650

Specialties and licenses

Taxonomy	Code	License
Vascular Surgery Physician Primary	2086S0129X	None listed

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

9 other providers at this address

Other vascular surgery physician providers in Tifton

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NPI record

NPI: 1184080079
Entity type: Organization (Type 2)
Issued: Jan 7, 2016
Last updated: Jun 24, 2022
Status: Active

Other names

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Tift Regional Vascular · doing business as
Tift Regional Vascular · doing business as

Authorized official

Christopher Dorman
President/ceo
(229) 353-6104

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About NPI 1184080079

Tift Regional Health System Inc's National Provider Identifier is 1184080079, issued on Jan 7, 2016. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Tifton, GA. The record was last updated on Jun 24, 2022.