Organization
SOUTHWELL AMBULATORY INC
Active
Other names
Southwell Gastroenterology
Organization subpart
No
Provider details
NPI number
Authorized official
TROY BROOKS (SVP/CFO)
(229) 353-3397
Entity
Organization
Contact information
Practice address
2922 N OAK ST STE C, VALDOSTA, GA 31602-1885
(229) 244-1570
(229) 299-4291
Mailing address
PO BOX 2650, TIFTON, GA 31793-2650
(229) 353-3422
(229) 353-6060
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
10/27/2025
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