Organization · Type 2 NPI

Tift Regional Health System Inc.

Rural Health Clinic/Center · Sylvester, GA

NPI number 1487284956 Active

Practice location

1010 W Franklin St
Sylvester, GA 31791-1900

Call (229) 776-3500 Map

Fax (229) 777-8269

Mailing address

PO Box 2650
Tifton, GA 31793-2650

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

3 other providers at this address

United Obstetrics & GynecologyObstetrics & Gynecology Physician Sylvester, GA NPI 1477973402
Doris Louise Wilder, MDFamily Medicine Physician Sylvester, GA NPI 1760476774
Myron Todd McDonald, FNP-CFamily Nurse Practitioner Sylvester, GA NPI 1275534190

Other rural health clinic/center providers in Sylvester

See all in Sylvester →

NPI record

NPI: 1487284956
Entity type: Organization (Type 2)
Issued: Jan 23, 2020
Last updated: Jun 24, 2022
Status: Active

Other names

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Southwell Medical Sylvester Primary Care · doing business as
Southwell Medical Sylvester Primary Care · doing business as

Authorized official

Christopher Dorman
President/ceo
(229) 353-6104

Verify this record

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 1487284956

Tift Regional Health System Inc.'s National Provider Identifier is 1487284956, issued on Jan 23, 2020. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Sylvester, GA. The record was last updated on Jun 24, 2022.