South Georgia Medical Center

LBN: South Georgia Medical Center
South Georgia Medical Center is an health care organization with primary practice located at 2501 North Patterson Street , Valdosta GA 31603-1727. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. South Georgia Medical Center can be contacted via phone (229) 259-4869, or through Brannen, William M. via phone (229) 259-4869.

Contact Information

Primary practice address
2501 North Patterson Street Valdosta GA 31603-1727
Phone: (229) 259-4869
Fax: (229) 259-4872
Website:
Map and Directions
Authorized official contact:
Name: Brannen, William M. R.PH.
Phone: (229) 259-4869

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHRE006396 Georgia

Profile Details

NPI number 1831171867
LBN Legal business name South Georgia Medical Center
DBA Doing business as
Authorized official Brannen, William M. R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2005
Last updated Mar 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831171867 NPPES
Georgia Other PHRE006396 PHARMACY LICENSE #

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