# SMITH OF GEORGIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smith Northview Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548252448
- **Authorized official:** MR. SHAMB PUROHIT (CFO)
- **Authorized official phone:** (229) 671-2000

## Contact information

- **Practice address:** 4280 N VALDOSTA RD, VALDOSTA, GA 31602-6814
- **Practice address phone:** (229) 671-2000
- **Practice address fax:** (229) 671-2054
- **Mailing address:** 4280 N VALDOSTA RD, PO BOX 10010, VALDOSTA, GA 31602-6814
- **Mailing address phone:** (229) 671-2000
- **Mailing address fax:** (229) 671-2054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 092602 | GA | Yes |

## Other

- **Enumeration date:** 08/17/2005
- **Last updated:** 04/07/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00001691A | — | GA |