Organization · Type 2 NPI

Tift Regional Health System Inc

Clinic/Center · Tifton, GA

NPI number 1306244090 Active

Practice location

907 18th St E, Suite 140
Tifton, GA 31794-3643

Call (229) 353-4325 Map

Mailing address

PO Box 2650
Tifton, GA 31793-2650

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	031888 (GA)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

9 other providers at this address

Other clinic/center providers in Tifton

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NPI record

NPI: 1306244090
Entity type: Organization (Type 2)
Issued: Dec 11, 2014
Last updated: Jun 24, 2022
Status: Active

Other names

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Tift Regional Wound Care Center · doing business as
Tift Regional Wound Care Center · doing business as

Authorized official

Christopher Dorman
President/ceo
(229) 353-6104

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1306244090

Tift Regional Health System Inc's National Provider Identifier is 1306244090, issued on Dec 11, 2014. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Tifton, GA. The record was last updated on Jun 24, 2022.