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Organization

SOUTH GEORGIA ANESTHESIA ASSOCIATES, PC

Active
Other names
JD Archbold Memorial Hosptial
Organization subpart
No

Provider details

NPI number
Authorized official
JUDY OLIVETO (MANAGER)
(229) 228-4002
Entity
Organization

Contact information

Practice address
915 GORDON AVE, THOMASVILLE, GA 31792-6614
(229) 228-4002
(229) 228-2000
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
363A00000X
Physician Assistant
GA
367500000X
Certified Registered Nurse Anesthetist
GA
367H00000X
Anesthesiologist Assistant

Other

Enumeration date
01/31/2006
Last updated
09/11/2025
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