TIFT REGIONAL HEALTH SYSTEM INC NPI 1124679014

NPI Information

  • NPI: 1124679014
  • Provider Name: TIFT REGIONAL HEALTH SYSTEM INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: SOUTHWELL CENTER FOR HEALING AND WELLNESS
  • Address: 39 KENT RD
    SUITE 2
    TIFTON, GA
    ZIP 31794
  • Phone: (229) 388-9393

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NPI Details

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 1124679014. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southwell Center For Healing And Wellness.

The provider's business location address is:

39 KENT RD
SUITE 2
TIFTON, GA
ZIP 31794-697
Phone: (229) 388-9393
Fax: (229) 388-9855

The provider's authorized official is Christopher Dorman .
The authorized official title is President/ceo and has the following contact phone number (229) 353-6104.

The enumeration date for this NPI number is 9/23/2019 and was last updated on 6/24/2022.

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?

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This page was last updated on: 3/30/2025

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