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Southern Skin & Wellness Center

Family Medicine Physician in Valdosta, GA · enumerated 2009 · authorized official Richard Ambrozic, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720224298

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Skin & Wellness Center
Practice address 3321 N Valdosta Rd Ste B, Valdosta, GA, 31602
Phone (229) 242-9310
Fax (229) 242-9714
Enumeration date Jan 5, 2009
Last updated in NPPES Mar 16, 2015

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Richard Ambrozic
Title President
Phone (229) 242-9310

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Southern Skin & Wellness Center?
Southern Skin & Wellness Center is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-03-16.