Organization
SOUTH HEALTH DISTRICT
Active
Other names
Lowndes Co Board of Health - Lake Park Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLIE PRIDGEN (DISTRICT ADMINISTRATOR)
(229) 333-5290
Entity
Organization
Contact information
Practice address
751 COUNTRY LANE, LAKE PARK, GA 31636
(229) 559-6470
(229) 559-5442
Mailing address
PO BOX 5147, VALDOSTA, GA 31603-5147
(229) 333-5290
(229) 333-7822
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000457762J
—
GA
Enumeration date
12/22/2006
Last updated
05/20/2025
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