South Georgia Medical Center INC

NPI #1396511713 in Lakeland, Georgia

Provider Information

NPI Number
1396511713
Entity Type
Organization
Organization Name
South Georgia Medical Center INC
Subpart
Yes (part of a larger organization)
Parent Organization
SOUTH GEORGIA MEDICAL CENTER INC
Primary Specialty
Nursing Facility/Intermediate Care Facility
Enumeration Date
Nov 27, 2023
Last Updated
Nov 4, 2025

Practice Location

Address
138 W THIGPEN AVE
State
Georgia
ZIP Code
31635-1011
Phone
(229) 433-8425

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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