| NPI | 1962035360 |
|---|---|
| Doing Business As | SOUTHWELL PEDIATRICS VALDOSTA |
| Entity Type | Organization |
| Authorized Contact | TROY BROOKS SVP/CFO 229-353-3397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2022-10-18 |