# HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA
- **Other names:** SGMC Physician's Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699114827
- **Legal business name:** HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA
- **Authorized official:** MRS. JULIE HODGES (CONTROLLER)
- **Authorized official phone:** (229) 259-4140

## Contact information

- **Practice address:** 2501 N PATTERSON ST, VALDOSTA, GA 31602-1735
- **Practice address phone:** (229) 433-1000
- **Mailing address:** PO BOX 9, VALDOSTA, GA 31603-0009
- **Mailing address phone:** (229) 433-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 092-141 | GA | — |
| 207RC0000X | Cardiovascular Disease Physician | 092-141 | GA | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 092-141 | GA | — |
| 207RH0003X | Hematology & Oncology Physician | 092-141 | GA | — |
| 207RI0200X | Infectious Disease Physician | 092-141 | GA | — |
| 207RP1001X | Pulmonary Disease Physician | 092-141 | GA | — |
| 207RR0500X | Rheumatology Physician | 092-141 | GA | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | 092-141 | GA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 092-141 | GA | — |
| 2084N0400X | Neurology Physician | 092-141 | GA | — |
| 208D00000X | General Practice Physician | 092-141 | GA | Yes |

## Other

- **Enumeration date:** 06/20/2013
- **Last updated:** 08/22/2019
