National Provider Identifier Database

BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA
3120 N OAK STREET EXT STE B
VALDOSTA, GA31602-5910
Phone: 229-671-6175
Fax: 229-293-0876
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA

NPI Number 1942374749
Legal business name
LBN
BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA
Authorized official WILLIAM HULING - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart No
Enumeration date 11/20/2006
Last updated 06/11/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • GA Medicaid: 737879168A

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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