| Organization Name: | SOUTH GEORGIA HEALTH ALLIANCE, INC. |
| NPI Number: | 1750331401 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREG S HEMBREE (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 2501 N Patterson St Valdosta |
| State: | GA US |
| Postal Code: | 316021735 |
| Phone Number: | 2292494100 |
| Fax Number: | 2292494102 |
| NPI Enumeration Date: | 05/12/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 092031H |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |