Southwell Ambulatory Inc
Pediatrics
Southwell Ambulatory Inc is a Valdosta, Georgia based Pediatric center with medical specialization in
General Pediatrics. Southwell Ambulatory Inc is doing business as
Southwell Pediatrics Valdosta.
It is located at
3014 N Patterson St, Valdosta, Georgia - 31602-1711. They can be contacted on phone at
229-242-0194 and fax number 229-242-1785.
NPI number (Unique professional ID) for Southwell Ambulatory Inc is
1962035360 which was assigned by NPPES on 14 Feb, 2020 and it was last updated on 18 Oct, 2022.
Southwell Ambulatory Inc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Southwell Ambulatory Inc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Southwell Ambulatory Inc |
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| Other Name : | Southwell Pediatrics Valdosta |
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Business Address:
Southwell Ambulatory Inc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3014 N Patterson St
Valdosta, GA, 31602-1711
United States |
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| Phone Number : | 229-242-0194 |
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| Fax Number : | 229-242-1785 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1962035360 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 14 Feb, 2020 |
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| Last Updated On : | 18 Oct, 2022 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Troy Brooks |
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| Official Title or Position : | SVP/CFO |
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| Phone Number : | 2293533397 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southwell Ambulatory Inc are as mentioned. Primary taxonomy code for Southwell Ambulatory Inc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | - |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 907 18th St E Ste 400
Tifton, GA, 31794-3684
United States |
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| Phone Number : | 229-353-3422 |
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Business Location:
Patients can refer following map for directions to
Southwell Ambulatory Inc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.