SOUTHERN SKIN & WELLNESS CENTER
NPI 1720224298
Family Medicine in Valdosta, GA

Active since January 05, 2009
3321 N VALDOSTA RD STE B, VALDOSTA, GA 31602(229) 242-9310(229) 242-9714 Get Directions Write a Review

NPPES record last updated: March 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Skin & Wellness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN SKIN & WELLNESS CENTER (NPI 1720224298) is a healthcare organization registered as a family medicine in Valdosta, Georgia and active in the NPI registry since January 2009. The organization lists Richard Anthony Ambrozic, President, as its authorized official.

NPPES Registry Identity

NPI1720224298
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTHERN SKIN & WELLNESS CENTER
Location Address3321 N VALDOSTA RD STE BValdosta, GA 31602-1685
Mailing Address3321 N Valdosta Rd Ste BValdosta, GA 31602-1685 · (229) 242-9310 · Fax (229) 242-9714
Fax(229) 242-9714
Organization SubpartNo
Authorized OfficialRichard Anthony AmbrozicPresident · (229) 242-9310
Enumeration DateJanuary 5, 2009
Last NPPES UpdateMarch 16, 2015
NPI 1720224298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3321 N VALDOSTA RD STE B, Valdosta, GA 31602

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Primary Care)
3321 N VALDOSTA RD STE B
VALDOSTA, GA 31602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Skin & Wellness Center's NPI number?

The NPI number for Southern Skin & Wellness Center is 1720224298. It was assigned to this organization in the NPPES registry on January 5, 2009.

Where is Southern Skin & Wellness Center located?

Southern Skin & Wellness Center is located at 3321 N Valdosta Rd Ste B, Valdosta, GA 31602. The listed phone number is (229) 242-9310.

What is Southern Skin & Wellness Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Southern Skin & Wellness Center was last updated on March 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.