Southwell School Clinic

LBN: Tift Regional Health System Inc
Southwell School Clinic is an health care organization with primary practice located at 1464 Carpenter Road S , Tifton GA 31793. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / School, which is considered as the primary health care specialty. Tift Regional Health System Inc can be contacted via phone (229) 353-2227, or through Dorman, Christopher via phone (229) 353-6104.

Contact Information

Primary practice address
1464 Carpenter Road S Tifton GA 31793
Phone: (229) 353-2227
Fax: (229) 388-9515
Website:
Map and Directions
Authorized official contact:
Name: Dorman, Christopher
Phone: (229) 353-6104

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / School 363LS0200X

Profile Details

NPI number 1508428442
LBN Legal business name Tift Regional Health System Inc
DBA Doing business as Southwell School Clinic
Authorized official Dorman, Christopher
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2019
Last updated Jun 24th, 2022 - about 3 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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