Organization
SOUTHWELL AMBULATORY INC
Active
Other names
Southwell Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
TROY BROOKS (SVP/CFO)
(229) 353-3397
Entity
Organization
Contact information
Practice address
3014 N PATTERSON ST, VALDOSTA, GA 31602-1711
(229) 262-6815
Mailing address
PO BOX 2650, TIFTON, GA 31793-2650
(229) 353-3422
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
10/27/2025
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