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

Southwell Ambulatory Inc

Organization Pediatrics Physician · NPI 1962035360

Southwell Ambulatory Inc is a Pediatrics 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

3014 N Patterson St
Valdosta, GA 31602-1711
Phone: (229) 242-0194
Fax: (229) 242-1785
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1962035360
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Troy Brooks — Svp/Cfo · (229) 353-3397
Other names Southwell Pediatrics Valdosta; Southwell Pediatrics Valdosta
NPI enumeratedFebruary 14, 2020
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022
Mailing address907 18th St E Ste 400, Tifton, GA 31794-3684

Other providers in Valdosta