| Organization Name: | SOUTHWEST GEORGIA MEDICAL CENTER |
| NPI Number: | 1144418534 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAYMOND ELIAS GUTIERREZ (MEDICAL DOCTOR) |
| Mailing Address: | 701 N Slappey Blvd Albany |
| State: | GA US |
| Postal Code: | 317011413 |
| Phone Number: | 2294391950 |
| Fax Number: | 2294391951 |
| NPI Enumeration Date: | 10/10/2007 |
| NPI Last Update Date: | 10/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 057983 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |