Organization
HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA
Active
Parent organization
HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA
Other names
SGMC Berrien Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA
Authorized official
MRS. JULIE HODGES (CONTROLLER)
(229) 259-4140
Entity
Organization
Contact information
Practice address
603 E DENNIS AVE, NASHVILLE, GA 31639-2510
(229) 686-2096
(229) 686-2104
Mailing address
PO BOX 0070, VALDOSTA, GA 31603-0070
(229) 686-2096
(229) 686-2104
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
010691
GA
Other
Enumeration date
03/13/2013
Last updated
09/28/2017
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