TIFT REGIONAL HEALTH SYSTEM INC NPI 1508428442

NPI Information

NPI: 1508428442
Provider Name: TIFT REGIONAL HEALTH SYSTEM INC

Doing Business As: SOUTHWELL SCHOOL CLINIC

Classification: Nurse Practitioner - 363LS0200X
Entity Type: Organization

Specialization: School

Address:
1464 CARPENTER ROAD S
TIFTON, GA
ZIP 31793
Phone: (229) 353-2227
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TIFT REGIONAL HEALTH SYSTEM INC is a school nurse practitioner in Tifton, GA. TIFT REGIONAL HEALTH SYSTEM INC NPI is 1508428442. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southwell School Clinic.

The provider's business location address is:

1464 CARPENTER ROAD S
TIFTON, GA
ZIP 31793
Phone: (229) 353-2227
Fax: (229) 388-9515

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 enumeration date for this NPI number is 7/1/2019 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
1	363LS0200X	Nurse Practitioner	School			Yes

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

NPI Synchronization or Removal

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