# SGMC PHYSICIAN NETWORK INC

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

## Provider details

- **NPI number:** 1417597170
- **Authorized official:** JULIE HODGES (CONTROLLER)
- **Authorized official phone:** (229) 259-4140

## Contact information

- **Practice address:** 2501 N PATTERSON ST, VALDOSTA, GA 31602-1735
- **Practice address phone:** (229) 433-1997
- **Practice address fax:** (229) 433-1998
- **Mailing address:** PO BOX 9, VALDOSTA, GA 31603-0009
- **Mailing address phone:** (229) 245-6232
- **Mailing address fax:** (229) 245-6976

## Taxonomy

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

## Other

- **Enumeration date:** 01/10/2020
- **Last updated:** 07/28/2022