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Organization
SOUTH GEORGIA MEDICAL CENTER
Active
Organization
SOUTH GEORGIA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM M. BRANNEN R.PH. (DIRECTOR OF PHARMACY)
(229) 259-4869
Entity
Organization
Contact information
Practice address
2501 NORTH PATTERSON STREET, VALDOSTA, GA 31603-1727
(229) 259-4869
(229) 259-4872
Mailing address
2501 NORTH PATTERSON STREET, VALDOSTA, GA 31603-1727
(229) 259-4869
(229) 259-4872
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHH004025
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHH004025
PHARMACY LICENSE #
GA
Enumeration date
11/15/2005
Last updated
03/07/2023
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