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SOUTHWELL AMBULATORY INC NPI 1598304974


NPI Information

NPI: 1598304974
Provider Name: SOUTHWELL AMBULATORY INC

Doing Business As: SOUTHWELL INFECTIOUS DISEASE

Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

CLIA Number: 11D0265545

Address:
2301 N ASHLEY ST
VALDOSTA, GA
ZIP 31602
Phone: (229) 245-0666
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SOUTHWELL AMBULATORY INC is an infectious disease internal medicine in Valdosta, GA. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. SOUTHWELL AMBULATORY INC NPI is 1598304974. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southwell Infectious Disease.

The provider's business location address is:

2301 N ASHLEY ST
VALDOSTA, GA
ZIP 31602-620
Phone: (229) 245-0666

The provider's authorized official is Troy Brooks .
The authorized official title is Svp/cfo and has the following contact phone number (229) 353-3397.

The CLIA number assigned to this NPI record is 11D0265545 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/2/2020 and was last updated on 10/18/2022.


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
1207RI0200XInternal MedicineInfectious DiseaseYes

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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