Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Georgia Vascular Clinic

Organization Vascular Surgery Physician · NPI 1144454059

South Georgia Vascular Clinic is a Vascular Surgery Physician in Tifton, Georgia. Licensed in Georgia. Registered with an NPI since 2009.

Licensed in
GA
In the registry since
2009

Practice location Address checks out

901 18th St E
Tifton, GA 31794-3648
Phone: (229) 382-9733
Fax: (229) 387-6161
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 031466 (GA)

Record details

NPI number1144454059
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dennis Crum — Vp/Cfo · (229) 353-6146
Other names Tift Regional Medical Center D/B/A South Georgia Vascular Clinic
NPI enumeratedMay 6, 2009
Last updated in NPPESMay 6, 2009
Mailing address901 18th St E, Tifton, GA 31794-3648

Other providers in Tifton