South Georgia Medical Center INC

NPI #1144096553 in Valdosta, Georgia

Provider Information

NPI Number: 1144096553
Entity Type: Organization
Organization Name: South Georgia Medical Center INC
Primary Specialty: General Acute Care Hospital
Enumeration Date: Nov 27, 2023
Last Updated: Jul 16, 2025

Practice Location

Address: 2501 N PATTERSON ST
City: Valdosta
State: Georgia
ZIP Code: 31602-1735
Phone: (229) 433-1000

Authorized Official

Name: OLAF FAESKORN
Title: VP REVENUE CYCLE
Phone: (229) 259-4749

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Student in an Organized Health Care Education/Training Program	390200000X
General Acute Care Hospital	282N00000X	Primary

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