NPI 1649641721

South Georgia Medical Center

Organisation General Acute Care Hospital Valdosta, GA

Practice location

Address: 209 Pendleton Dr, Valdosta, GA 31602-1729
Phone: (229) 259-4611
Fax: (229) 259-4664

Authorised official

Name: Katie Womack
Title: Credentialing Coordinator
Phone: (229) 259-4131

Registered specialties

General Acute Care Hospital Primary

Hospitals Taxonomy 282N00000X Licence RN195214 (GA)

Other General Acute Care Hospital providers in Georgia →

Registry record

NPI: 1649641721
Entity type: Organization
NPI issued: 14 Oct 2015
Record last updated: 14 Oct 2015

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.