Organization
SOUTHWELL AMBULATORY INC
Active
Other names
Southwell Lowndes Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
TROY BROOKS (SVP/CFO)
(292) 353-3397
Entity
Organization
Contact information
Practice address
3790 OLD US 41 N STE C, VALDOSTA, GA 31602-6867
(229) 262-6800
Mailing address
PO BOX 2650, TIFTON, GA 31793-2650
(229) 353-3422
(229) 391-4059
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
10/27/2025
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