Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Georgia Surgical Clinic PC

Organization Vascular Surgery Physician · NPI 1770544694

South Georgia Surgical Clinic PC is a Vascular Surgery Physician in Tifton, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1007 Greenfield Dr
Tifton, GA 31794-3795
Phone: (229) 382-9733
Fax: (229) 387-6161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X (GA)

Record details

NPI number1770544694
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joel Johnson — President · (229) 382-9733
Other names South Georgia Surgical Clinic Pc
NPI enumeratedMarch 30, 2006
Last updated in NPPESJuly 21, 2022
Mailing address1007 Greenfield Dr, Tifton, GA 31794-3795

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