# SOUTHWEST GEORGIA MEDICAL CENTER

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

## Provider details

- **NPI number:** 1144418534
- **Authorized official:** DR. RAYMOND ELIAS GUTIERREZ M.D. (MEDICAL DOCTOR)
- **Authorized official phone:** (229) 439-1950

## Contact information

- **Practice address:** 701 N SLAPPEY BLVD, ALBANY, GA 31701-1413
- **Practice address phone:** (229) 439-1950
- **Practice address fax:** (229) 439-1951
- **Mailing address:** 701 N SLAPPEY BLVD, ALBANY, GA 31701-1413
- **Mailing address phone:** (229) 439-1950
- **Mailing address fax:** (229) 439-1951

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 057983 | GA | Yes |

## Other

- **Enumeration date:** 10/10/2007
- **Last updated:** 10/10/2007