Organization
HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY GEORGIA
Active
Parent organization
HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY GEORGIA
Other names
Smith Northview Emergency Physician Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY GEORGIA
Authorized official
MR. JACK RANDALL SAULS (CHIEF EXECUTIVE OFFICER)
(229) 333-1020
Entity
Organization
Contact information
Practice address
4280 N VALDOSTA RD, VALDOSTA, GA 31602-6814
(229) 671-2000
(229) 671-2054
Mailing address
PO BOX 70, VALDOSTA, GA 31603-0070
(229) 671-2000
(229) 671-2054
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
06/29/2011
Last updated
03/28/2013
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