Organization
SMITH OF GEORGIA, LLC
Active
Other names
Smith Northview Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAMB PUROHIT (CFO)
(229) 671-2000
Entity
Organization
Contact information
Practice address
4280 N VALDOSTA RD, VALDOSTA, GA 31602-6814
(229) 671-2000
(229) 671-2054
Mailing address
4280 N VALDOSTA RD, PO BOX 10010, VALDOSTA, GA 31602-6814
(229) 671-2000
(229) 671-2054
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
092602
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001691A
—
GA
Enumeration date
08/17/2005
Last updated
04/07/2008
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