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

Southwell Ambulatory Inc

Organization Obstetrics & Gynecology Physician · NPI 1720693047

Southwell Ambulatory Inc is an Obstetrics & Gynecology Physician in Valdosta, Georgia. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

814 Northwood Park Dr
Valdosta, GA 31602-1398
Phone: (229) 262-6810
Fax: (229) 353-4901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1720693047
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Troy Brooks — Svp/Cfo · (229) 353-3397
Other names Southwell Ob/Gyn
NPI enumeratedSeptember 14, 2020
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025
Mailing addressPo Box 2650, Tifton, GA 31793-2650

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