Southwell Medical Clinic

LBN: Tift Regional Health System, Inc
Southwell Medical Clinic is an health care organization with primary practice located at 2225 Us Highway 41 N , Tifton GA 31794-2749. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Neurology, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Tift Regional Health System, Inc can be contacted via phone (229) 391-4100, or through Dorman, Christopher via phone (229) 353-6104.

Contact Information

Primary practice address
2225 Us Highway 41 N Tifton GA 31794-2749
Phone: (229) 391-4100
Fax: (229) 391-4508
Website:
Map and Directions
Authorized official contact:
Name: Dorman, Christopher
Phone: (229) 353-6104

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1861022329
LBN Legal business name Tift Regional Health System, Inc
DBA Doing business as Southwell Medical Clinic
Authorized official Dorman, Christopher
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2020
Last updated Jun 24th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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