Healthcare Provider Details

I. General information

NPI: 1306772736
Provider Name (Legal Business Name): SOWEGA COUNCIL ON AGING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

618A N WESTOVER BLVD
ALBANY GA
31707-2187
US

IV. Provider business mailing address

PO BOX 88
ALBANY GA
31702-0088
US

V. Phone/Fax

Practice location:
  • Phone: 229-432-1124
  • Fax:
Mailing address:
  • Phone: 229-432-1124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: ERIN WILLINGHAM
Title or Position: AAA DIRECTOR
Credential:
Phone: 229-432-1124