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TIFT REGIONAL HEALTH SYSTEM INC NPI 1912315094


NPI Information

NPI: 1912315094
Provider Name: TIFT REGIONAL HEALTH SYSTEM INC

Doing Business As: SOUTH GA SURGICAL

Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 11D0680179

Address:
1007 GREENFIELD DR
TIFTON, GA
ZIP 31794
Phone: (229) 382-9733
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TIFT REGIONAL HEALTH SYSTEM INC is a surgery in Tifton, GA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. TIFT REGIONAL HEALTH SYSTEM INC NPI is 1912315094. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As South Ga Surgical.

The provider's business location address is:

1007 GREENFIELD DR
TIFTON, GA
ZIP 31794-795
Phone: (229) 382-9733

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 11D0680179 - other with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/1/2014 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
1208600000XSurgery030799GEORGIAYes

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: 5/5/2024

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