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TIFT REGIONAL HEALTH SYSTEM INC NPI 1881203305


NPI Information

NPI: 1881203305
Provider Name: TIFT REGIONAL HEALTH SYSTEM INC

Doing Business As: SOUTHWELL MOBILE CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D2273675

Address:
901 18TH ST E
TIFTON, GA
ZIP 31794
Phone: (229) 382-7120
Get Directions

TIFT REGIONAL HEALTH SYSTEM INC is a family medicine in Tifton, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TIFT REGIONAL HEALTH SYSTEM INC NPI is 1881203305. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southwell Mobile Clinic.

The provider's business location address is:

901 18TH ST E
TIFTON, GA
ZIP 31794-648
Phone: (229) 382-7120

The provider's authorized official is Kim Wills .
The authorized official title is Svp, Cfo and has the following contact phone number (229) 353-3397.

The CLIA number assigned to this NPI record is 11D2273675 - other - paramedicine service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2020 and was last updated on 7/21/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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