TIFT REGIONAL HEALTH SYSTEM INC NPI 1184080079

NPI Information

TIFT REGIONAL HEALTH SYSTEM INC is a vascular surgery surgery in Tifton, GA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. TIFT REGIONAL HEALTH SYSTEM INC NPI is 1184080079. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tift Regional Vascular.

The provider's business location address is:

1641 MADISON AVE
TIFTON, GA
ZIP 31794-757
Phone: (229) 353-2284
Fax: (229) 353-2285

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 enumeration date for this NPI number is 1/7/2016 and was last updated on 6/8/2021.

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:

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