| Sgmc Lanier Campus | |
|
116 W Thigpen Ave Lakeland GA 31635-1011 | |
| (229) 433-8440 | |
| Not Available |
| Full Name | Sgmc Lanier Campus |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 116 W Thigpen Ave, Lakeland, Georgia |
| Authorized Official Name and Position | Olaf Faeskorn (VP REVENUE CYCLE) |
| Authorized Official Contact | 2292594749 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sgmc Lanier Campus Po Box 9 Valdosta GA 31603-0009 | Sgmc Lanier Campus 116 W Thigpen Ave Lakeland GA 31635-1011 Ph: (229) 433-8440 |
| NPI Number | 1215703632 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 11/04/2025 |
| Certification Date | 11/04/2025 |
| Medicare PECOS PAC ID | 1052764677 |
|---|---|
| Medicare Enrollment ID | O20240131001327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215703632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 282NC0060X | General Acute Care Hospital - Critical Access | () | Primary |
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