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Organization
SOUTH GEORGIA MEDICAL CENTER
Active
Organization
SOUTH GEORGIA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATIE WOMACK (CREDENTIALING COORDINATOR)
(229) 259-4131
Entity
Organization
Contact information
Practice address
209 PENDLETON DR, VALDOSTA, GA 31602-1729
(229) 259-4611
(229) 259-4664
Mailing address
209 PENDLETON DR, VALDOSTA, GA 31602-1729
(229) 259-4611
(229) 259-4664
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
RN195214
GA
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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