Organization
SOUTH GEORGIA MEDICAL CENTER INC
Active
Other names
SGMC Health Lanier
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE W HODGES (CONTROLLER)
(229) 259-4140
Entity
Organization
Contact information
Practice address
116 W THIGPEN AVE, LAKELAND, GA 31635-1011
(229) 433-8876
(229) 433-8853
Mailing address
116 W THIGPEN AVE, LAKELAND, GA 31635-1011
(229) 433-8876
(229) 433-8853
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010059
GA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000141732B
—
GA
01
—
2016833
PK
—
Enumeration date
08/03/2006
Last updated
01/31/2025
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