SOUTHWELL AMBULATORY INC NPI 1720693047

NPI Information

  • NPI: 1720693047
  • Provider Name: SOUTHWELL AMBULATORY INC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • :
  • Address: 814 NORTHWOOD PARK DR
    VALDOSTA, GA
    ZIP 31602
  • Phone: (229) 262-6810

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NPI Details

SOUTHWELL AMBULATORY INC is an obstetrics gynecology in Valdosta, GA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SOUTHWELL AMBULATORY INC NPI is 1720693047. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

814 NORTHWOOD PARK DR
VALDOSTA, GA
ZIP 31602-398
Phone: (229) 262-6810
Fax: (229) 353-4901

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 enumeration date for this NPI number is 9/14/2020 and was last updated on 10/27/2025.

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
1207V00000XObstetrics & GynecologyYes

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: 11/21/2025

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