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SOUTH GEORGIA MEDICAL CENTER NPI 1831171867


NPI Information

NPI: 1831171867
Provider Name: SOUTH GEORGIA MEDICAL CENTER
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
2501 NORTH PATTERSON STREET
VALDOSTA, GA
ZIP 31603
Phone: (229) 259-4869
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SOUTH GEORGIA MEDICAL CENTER is a pharmacy in Valdosta, GA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. SOUTH GEORGIA MEDICAL CENTER NPI is 1831171867. The provider is registered as an organization entity type.

The provider's business location address is:

2501 NORTH PATTERSON STREET
VALDOSTA, GA
ZIP 31603-727
Phone: (229) 259-4869
Fax: (229) 259-4872

The provider's authorized official is William M. Brannen .
The authorized official title is Director Of Pharmacy and has the following contact phone number (229) 259-4869.

The enumeration date for this NPI number is 11/16/2005 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyPHRE006396GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PHRE006396OTHERGEORGIAPHARMACY LICENSE #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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