institution
Azalea Womens Center, Pc
Specialist in Valdosta, Georgia
NPI 1710194097

Azalea Womens Center, Pc is a Specialist based in Valdosta, GA. Azalea Womens Center, Pc practices in Valdosta, GA. The NPI Number for Azalea Womens Center, Pc is 1710194097 and holds a License No. 040845 (Georgia).

The current practice location address for Azalea Womens Center, Pc is 2307 N Patterson St, Valdosta, GA and can be reached out via phone at 229-242-8888 and via fax at 229-242-0069.

Location: 2307 N Patterson St, Valdosta, GA, 31602-2510
institution
Provider Profile Details
NPI Number
1710194097
Provider Name
Azalea Womens Center, Pc
Credential
Provider Entity Type
Organization
Address
2307 N Patterson St, Valdosta, GA, 31602-2510
Phone Number
229-242-8888
Fax Number
229-242-0069
Provider Enumeration Date
05/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300035443A 05 GA
3948 01 GA GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
2307 N Patterson St
City
State
Zip
31602-2510
Phone Number
229-242-8888
Fax Number
229-242-0069
person
Provider Business Mailing Address Details
Address
2307 N Patterson St
City
State
Zip
31602-2510
Phone Number
229-242-8888
Fax Number
229-242-0069
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
040845 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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