# SGMC AFFILIATED SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114740362
- **Authorized official:** OLAF FAESKORN (VP REVENUE CYCLE)
- **Authorized official phone:** (229) 259-4749

## Contact information

- **Practice address:** 2501 N PATTERSON ST, VALDOSTA, GA 31602-1735
- **Practice address phone:** (229) 433-1000
- **Mailing address:** PO BOX 9, VALDOSTA, GA 31603-0009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/06/2024
- **Last updated:** 11/04/2025