# SOUTH GEORGIA MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medical Center Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528049046
- **Authorized official:** JULIE W HODGES (CONTROLLER)
- **Authorized official phone:** (229) 259-4140

## Contact information

- **Practice address:** 2501 N PATTERSON ST, VALDOSTA, GA 31602-1735
- **Practice address phone:** (229) 249-4144
- **Practice address fax:** (229) 249-4145
- **Mailing address:** PO BOX 1805, VALDOSTA, GA 31603-1805
- **Mailing address phone:** (229) 433-7150
- **Mailing address fax:** (229) 433-8416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 008065 | GA | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/10/2005
- **Last updated:** 09/02/2025