# SOUTH GEORGIA MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SGMC Health Lanier
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215945787
- **Authorized official:** JULIE W HODGES (CONTROLLER)
- **Authorized official phone:** (229) 259-4140

## Contact information

- **Practice address:** 116 W THIGPEN AVE, LAKELAND, GA 31635-1011
- **Practice address phone:** (229) 433-8876
- **Practice address fax:** (229) 433-8853
- **Mailing address:** 116 W THIGPEN AVE, LAKELAND, GA 31635-1011
- **Mailing address phone:** (229) 433-8876
- **Mailing address fax:** (229) 433-8853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE010059 | GA | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 01/31/2025