Southwell Mobile Clinic

LBN: Tift Regional Health System Inc
Southwell Mobile Clinic is an health care organization with primary practice located at 901 18Th St E , Tifton GA 31794-3648. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Tift Regional Health System Inc can be contacted via phone (229) 382-7120, or through Wills, Kim via phone (229) 353-3397.

Contact Information

Primary practice address
901 18Th St E Tifton GA 31794-3648
Phone: (229) 382-7120
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wills, Kim
Phone: (229) 353-3397

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1881203305
LBN Legal business name Tift Regional Health System Inc
DBA Doing business as Southwell Mobile Clinic
Authorized official Wills, Kim
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2020
Last updated Jul 21st, 2021 - about 5 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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