# GEORGIA CORRECTIONAL HEALTH CARE

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

## Provider details

- **NPI number:** 1164801460
- **Authorized official:** DR. BILLY NICHOLS MD (STATEWIDE MEDICAL DIRECTOR)
- **Authorized official phone:** (229) 249-4971

## Contact information

- **Practice address:** 3259 VAL TECH RD, VALDOSTA, GA 31602-9309
- **Practice address phone:** (229) 249-4971
- **Mailing address:** 5899 OLD US 41 N, HAHIRA, GA 31632-2427
- **Mailing address phone:** (229) 794-3388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | RN135376 | GA | Yes |

## Other

- **Enumeration date:** 05/20/2015
- **Last updated:** 05/20/2015