Organization
SGMC AFFILIATED SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLAF FAESKORN (VP REVENUE CYCLE)
(229) 259-4749
Entity
Organization
Contact information
Practice address
2501 N PATTERSON ST, VALDOSTA, GA 31602-1735
(229) 433-1000
Mailing address
PO BOX 9, VALDOSTA, GA 31603-0009
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
11/06/2024
Last updated
11/04/2025
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