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Tift Regional Health System Inc — NPI 1508428442, Tifton, GA | NPI Central

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NPI 1508428442

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Tift Regional Health System Inc

NPI 1508428442 · School Nurse Practitioner · Tifton, GA

Provider details

NPI number: 1508428442
Entity type: Organization
Primary specialty: School Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Organization subpart: No
Authorized official: Christopher Dorman, President/Ceo(229) 353-6104

Specialties & taxonomies

School Nurse PractitionerPrimary363LS0200X
Physician Assistants & Advanced Practice Nursing Providers

Practice location

1464 Carpenter Road S

Tifton, GA 31793

Phone: (229) 353-2227

Fax: (229) 388-9515

Approximate (ZIP-level) locationGet directions

More GA providers

Mailing address

Po Box 2650

Tifton, GA 31793-2650

Other names (DBA / former)

Doing business as: Southwell School Clinic
Doing business as: Southwell School Clinic

Additional practice locations (1)

700 8th St W
Tifton, GA 31794-3803
Phone: (229) 353-3767

Registry dates

Enumerated: 2019-07-01
Last updated: 2022-06-24
Certified: 2022-06-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.