SOUTHWELL AMBULATORY INC

TIFTON, GA
NPI1306466206
Entity TypeOrganization
Authorized ContactTROY BROOKS
SVP/CFO
229-353-3397
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2020-04-21
Last Update Date2022-10-18
Business Address
SOUTHWELL AMBULATORY INC
901 18TH ST E
TIFTON, GA 31794-3648
Phone number: 229-382-7120
Mailing Address
SOUTHWELL AMBULATORY INC
907 18TH ST E STE 400
TIFTON, GA 31794-3684
Phone number: 229-353-3422
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