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General NPI Number Information
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NPI Number | 1750215323
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Entity Type | Organization
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Legal Business Name | TIFT REGIONAL HEALTH SYSTEM INC
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 150 MJ TAYLOR RD
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City | ADEL
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State | GA
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Zip | 31620-3497
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Country | US
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Telephone | 229-896-8440
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Fax | 229-635-5275
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Provider Business Mailing Address
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Address Line | PO BOX 2650
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City | TIFTON
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State | GA
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Zip | 31793-2650
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Country | US
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Telephone | 229-402-0425
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Fax | 229-391-4059
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | CHRISTOPHER DORMAN
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Credential |
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Telephone | 229-353-6121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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