| Southwell Internal Medicine | |
|
3014 N Patterson St Valdosta GA 31602-1711 | |
| (229) 262-6815 | |
| Not Available |
| Full Name | Southwell Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 3014 N Patterson St, Valdosta, Georgia |
| Authorized Official Name and Position | Troy Brooks (SVP/CFO) |
| Authorized Official Contact | 2293533397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwell Internal Medicine 907 18th St E Ste 400 Tifton GA 31794-3684 Ph: (229) 353-3422 | Southwell Internal Medicine 3014 N Patterson St Valdosta GA 31602-1711 Ph: (229) 262-6815 |
| NPI Number | 1982296364 |
|---|---|
| Provider Enumeration Date | 02/08/2021 |
| Last Update Date | 10/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982296364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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