Organization
SOUTH GEORGIA PHYSICIANS GROUP, LLC
Active
Organization
SOUTH GEORGIA PHYSICIANS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL CRAWFORD DUBOSE (CFO)
(912) 632-8961
Entity
Organization
Contact information
Practice address
204 E 15TH ST, ALMA, GA 31510
(912) 632-0314
(912) 632-2554
Mailing address
204 E 15TH ST, ALMA, GA 31510-2908
(912) 632-0314
(912) 632-2554
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003144050A
—
GA
Enumeration date
12/27/2013
Last updated
02/12/2026
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