institution
Jose Medina Md Pc
Multi-Specialty Clinic/Center in Valdosta, Georgia
NPI 1407047269

Jose Medina Md Pc is a Multi-Specialty Clinic/Center based in Valdosta, GA and is specialized in Multi-Specialty. Jose Medina Md Pc practices in Valdosta, GA. The NPI Number for Jose Medina Md Pc is 1407047269 and holds a License No. 041166 (Georgia).

The current practice location address for Jose Medina Md Pc is 3334 Greystone Way, Valdosta, GA and can be reached out via phone at 229-247-1667 and via fax at 229-247-3456. You can also correspond with Jose Medina Md Pc through the mailing address at PO BOX 3550, VALDOSTA, GA - 31604-3550 (mailing address contact number: 229-247-1667).

Location: 3334 Greystone Way, Valdosta, GA, 31604-3550
institution
Provider Profile Details
NPI Number
1407047269
Provider Name
Jose Medina Md Pc
Credential
Provider Entity Type
Organization
Address
3334 Greystone Way, Valdosta, GA, 31604-3550
Phone Number
229-247-1667
Fax Number
229-247-3456
Provider Enumeration Date
08/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00686507C 05 GA
institution
Provider Business Practice Location Address Details
Address
3334 Greystone Way
City
State
Zip
31605-1096
Phone Number
229-247-1667
Fax Number
229-247-3456
person
Provider Business Mailing Address Details
Address
3334 Greystone Way
City
State
Zip
31605-1096
Phone Number
229-247-1667
Fax Number
229-247-3456
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
041166 (Georgia)
Definition
Definition to come...
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