Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

South Georgia Surgical Clinic PC

Organization Vascular Surgery Physician · NPI 1770544694

South Georgia Surgical Clinic PC provides Vascular Surgery Physician services in Tifton, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1007 Greenfield Dr
Tifton, GA 31794-3795
Phone: (229) 382-9733
Fax: (229) 387-6161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X (GA)

Record details

NPI number1770544694
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joel Johnson — President · (229) 382-9733
Other names South Georgia Surgical Clinic Pc
NPI enumeratedMarch 30, 2006
Last updated in NPPESJuly 21, 2022
Mailing address1007 Greenfield Dr, Tifton, GA 31794-3795

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