# SOUTH GEORGIA MEDICAL CENTER

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

## Provider details

- **NPI number:** 1891045191
- **Authorized official:** KIM MEGOW MD (CMO)
- **Authorized official phone:** (229) 333-1000

## Contact information

- **Practice address:** 2501 NORTH PATTERSON ST, VALDOSTA, GA 31636
- **Practice address phone:** (229) 333-1000
- **Mailing address:** 2501 NORTH PATTERSON ST, VALDOSTA, GA 31636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | RN140275 | GA | Yes |

## Other

- **Enumeration date:** 09/13/2012
- **Last updated:** 09/13/2012