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TIFT REGIONAL HEALTH SYSTEM INC NPI 1366765166


NPI Information

NPI: 1366765166
Provider Name: TIFT REGIONAL HEALTH SYSTEM INC

Doing Business As: AFFINITY CLINIC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 11D2168732

Address:
2225 US HIGHWAY 41 N
TIFTON, GA
ZIP 31794
Phone: (229) 391-4100
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TIFT REGIONAL HEALTH SYSTEM INC is an internal medicine in Tifton, GA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. TIFT REGIONAL HEALTH SYSTEM INC NPI is 1366765166. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Affinity Clinic.

The provider's business location address is:

2225 US HIGHWAY 41 N
TIFTON, GA
ZIP 31794-749
Phone: (229) 391-4100

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 CLIA number assigned to this NPI record is 11D2168732 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2010 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207K00000XAllergy & ImmunologyGEORGIANo
2207Q00000XFamily MedicineGEORGIANo
3207RC0000XInternal MedicineCardiovascular DiseaseGEORGIANo
4207RG0100XInternal MedicineGastroenterologyGEORGIANo
5207RP1001XInternal MedicinePulmonary DiseaseGEORGIANo
6207V00000XObstetrics & GynecologyNo
7208000000XPediatricsGEORGIANo
82080P0208XPediatricsPediatric Infectious DiseasesGEORGIANo
92084N0400XPsychiatry & NeurologyNeurologyGEORGIANo
10207R00000XInternal MedicineGEORGIAYes

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: 4/28/2024

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