Southern Skin & Wellness Center

LBN: Southern Skin & Wellness Center
Southern Skin & Wellness Center is an health care organization with primary practice located at 3321 N Valdosta Rd Ste B , Valdosta GA 31602-1685. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Southern Skin & Wellness Center can be contacted via phone (229) 242-9310, or through Ambrozic, Richard Anthony via phone (229) 242-9310.

Contact Information

Primary practice address
3321 N Valdosta Rd Ste B Valdosta GA 31602-1685
Phone: (229) 242-9310
Fax: (229) 242-9714
Website:
Map and Directions
Authorized official contact:
Name: Ambrozic, Richard Anthony Doctor of Medicine (MD)
Phone: (229) 242-9310

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1720224298
LBN Legal business name Southern Skin & Wellness Center
DBA Doing business as
Authorized official Ambrozic, Richard Anthony Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2009
Last updated Mar 16th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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