| Southwell Infectious Disease | |
|
2301 N Ashley St Valdosta GA 31602-2620 | |
| (229) 245-0666 | |
| Not Available |
| Full Name | Southwell Infectious Disease |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 2301 N Ashley 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 Infectious Disease 907 18th St E Ste 400 Tifton GA 31794-3684 Ph: (229) 353-3422 | Southwell Infectious Disease 2301 N Ashley St Valdosta GA 31602-2620 Ph: (229) 245-0666 |
| NPI Number | 1598304974 |
|---|---|
| Provider Enumeration Date | 01/02/2020 |
| Last Update Date | 10/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598304974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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