Organization
SOUTHERN MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATELYN SATTERFIELD (OFFICE MANAGER)
(912) 739-3354
Entity
Organization
Contact information
Practice address
501 E LONG ST, CLAXTON, GA 30417-1435
(912) 739-3354
Mailing address
PO BOX 217, CLAXTON, GA 30417-0217
(912) 654-0475
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
000461
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300033425A
—
GA
01
—
CI8763
RAILROAD MEDICARE
GA
Enumeration date
10/25/2006
Last updated
01/22/2026
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