# SOUTH GEORGIA MEDICINE, P.C.

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

## Provider details

- **NPI number:** 1528126182
- **Authorized official:** SHIRLEY VICKERS CARRINGTON (BILLING MANAGER)
- **Authorized official phone:** (229) 382-9338

## Contact information

- **Practice address:** 1111 20TH ST E, TIFTON, GA 31794-3689
- **Practice address phone:** (229) 382-9338
- **Practice address fax:** (229) 382-4282
- **Mailing address:** 1111 20TH ST E, TIFTON, GA 31794-3689
- **Mailing address phone:** (229) 382-9338
- **Mailing address fax:** (229) 382-4282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 021582 | GA | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 06/21/2021