Southwell Primary Care

LBN: Southwell Ambulatory Inc
Southwell Primary Care is an health care organization with primary practice located at 2922 N Oak St Ste C , Valdosta GA 31602-1885. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Southwell Ambulatory Inc can be contacted via phone (229) 262-6819, or through Brooks, Troy via phone (229) 353-3397.

Contact Information

Primary practice address
2922 N Oak St Ste C Valdosta GA 31602-1885
Phone: (229) 262-6819
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brooks, Troy
Phone: (229) 353-3397

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1497330625
LBN Legal business name Southwell Ambulatory Inc
DBA Doing business as Southwell Primary Care
Authorized official Brooks, Troy
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2021
Last updated Oct 18th, 2022 - about 3 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.

Request for update

Popular Providers