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Dr. Ellen Eanes Courson, MD
Obstetrics & Gynecology Physician in Valdosta, Georgia
NPI 1528080496

Ellen Eanes Courson is a Obstetrics & Gynecology Physician based in Valdosta, GA. Ellen Eanes Courson practices in Valdosta, GA and has the professional credentials of MD. The NPI Number for Ellen Eanes Courson is 1528080496 and holds a License No. 0343089 (Georgia).

The current practice location address for Ellen Eanes Courson is 604 E Park Ave, Valdosta, GA and can be reached out via phone at 229-333-0277 and via fax at 229-241-1608.

Location: 604 E Park Ave, Valdosta, GA, 31604-2130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528080496
Provider Name
Ellen Eanes Courson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
604 E Park Ave, Valdosta, GA, 31604-2130
Phone Number
229-333-0277
Fax Number
229-241-1608
Provider Enumeration Date
07/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
355750 01 GA WELLCARE
000470533A 05 GA
062093 01 GA BLUECROSSBLUESHIELD
institution
Provider Business Practice Location Address Details
Address
604 E Park Ave
City
Valdosta
State
Georgia
Zip
31602-3060
Phone Number
229-333-0277
Fax Number
229-241-1608
person
Provider Business Mailing Address Details
Address
604 E Park Ave
City
Valdosta
State
Georgia
Zip
31602-3060
Phone Number
229-333-0277
Fax Number
229-241-1608
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
0343089 (Georgia)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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