National Provider Identifier Database

SOUTH GEORGIA MEDICAL CENTER INC
Critical Access


Contact Information

SOUTH GEORGIA MEDICAL CENTER INC
116 W THIGPEN AVE
LAKELAND, GA31635-1011
Phone: 229-433-8440
Fax:
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X
Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for SOUTH GEORGIA MEDICAL CENTER INC

NPI Number 1215703632
Legal business name
LBN
SOUTH GEORGIA MEDICAL CENTER INC
Authorized official OLAF FAESKORN - (VP REVENUE CYCLE)
Entity Organization
Organization subpart Yes
Enumeration date 11/27/2023
Last updated 11/04/2025 - About 7 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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