institution
Healthsource Medical Clinic Pc
Family Nurse Practitioner in Valdosta, Georgia
NPI 1619271103

Healthsource Medical Clinic Pc is a Family Nurse Practitioner based in Valdosta, GA and is specialized in Family. Healthsource Medical Clinic Pc practices in Valdosta, GA. The NPI Number for Healthsource Medical Clinic Pc is 1619271103 and holds a License No. RN130256 (Georgia).

The current practice location address for Healthsource Medical Clinic Pc is 1609 Norman Dr, Valdosta, GA and can be reached out via phone at 229-245-1004 and via fax at 229-245-1074.

Location: 1609 Norman Dr, Valdosta, GA, 31601-3753
institution
Provider Profile Details
NPI Number
1619271103
Provider Name
Healthsource Medical Clinic Pc
Credential
Provider Entity Type
Organization
Address
1609 Norman Dr, Valdosta, GA, 31601-3753
Phone Number
229-245-1004
Fax Number
229-245-1074
Provider Enumeration Date
12/27/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1609 Norman Dr
City
State
Zip
31601-3753
Phone Number
229-245-1004
Fax Number
229-245-1074
person
Provider Business Mailing Address Details
Address
1609 Norman Dr
City
State
Zip
31601-3753
Phone Number
229-245-1004
Fax Number
229-245-1074
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN130256 (Georgia)
Definition
Definition to come...
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