Organization
SOUTHWELL AMBULATORY INC
Active
Other names
Southwell OB/GYN
Organization subpart
No
Provider details
NPI number
Authorized official
TROY BROOKS (SVP/CFO)
(229) 353-3397
Entity
Organization
Contact information
Practice address
814 NORTHWOOD PARK DR, VALDOSTA, GA 31602-1398
(229) 262-6810
(229) 353-4901
Mailing address
PO BOX 2650, TIFTON, GA 31793-2650
(229) 402-0425
(229) 391-4059
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
10/27/2025
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