NPI 1164069472

Southwell Ambulatory INC

Organisation Gastroenterology Physician Valdosta, GA

Practice location

Address: 2922 N Oak St STE C, Valdosta, GA 31602-1885
Phone: (229) 244-1570
Fax: (229) 299-4291
Mailing address: PO Box 2650, Tifton, GA 31793-2650

Authorised official

Name: Troy Brooks
Title: Svp/Cfo
Phone: (229) 353-3397

Registered specialties

Gastroenterology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RG0100X

Other Internal Medicine providers in Georgia →

Registry record

NPI: 1164069472
Entity type: Organization
NPI issued: 5 Dec 2019
Record last updated: 27 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.