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Organization
SMITH OF GEORGIA, LLC
Active
Organization
SMITH OF GEORGIA, LLC
Active
Other names
Smith Northview Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAMB PUROHIT (CFO)
(229) 671-2000
Entity
Organization
Contact information
Practice address
4280 N VALDOSTA RD, VALDOSTA, GA 31602-6814
(229) 671-2000
(229) 671-2054
Mailing address
4280 N VALDOSTA RD, PO BOX 10010, VALDOSTA, GA 31602-6814
(229) 671-2000
(229) 671-2054
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
092602
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001691A
—
GA
Enumeration date
08/17/2005
Last updated
04/07/2008
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