Organization
SOUTH GEORGIA MEDICAL CENTER INC
Active
Parent organization
SOUTH GEORGIA MEDICAL CENTER INC
Other names
SGMC Health Lanier, SGMC Lanier Campus
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH GEORGIA MEDICAL CENTER INC
Authorized official
OLAF FAESKORN (VP REVENUE CYCLE)
(229) 259-4749
Entity
Organization
Contact information
Practice address
116 W THIGPEN AVE, LAKELAND, GA 31635-1011
(229) 433-8440
Mailing address
PO BOX 9, VALDOSTA, GA 31603-0009
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/04/2025
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