NPI 1720693047
Southwell Ambulatory INC
Practice location
- Address
- 814 Northwood Park Dr, Valdosta, GA 31602-1398
- Phone
- (229) 262-6810
- Fax
- (229) 353-4901
- Mailing address
- PO Box 2650, Tifton, GA 31793-2650
Authorised official
- Name
- Troy Brooks
- Title
- Svp/Cfo
- Phone
- (229) 353-3397
Registered specialties
Obstetrics & Gynecology Physician
Primary
Registry record
- NPI
- 1720693047
- Entity type
- Organization
- NPI issued
- 14 Sep 2020
- 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.