Jose Medina is a Internal Medicine in Valdosta, Georgia. Jose Medina practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jose Medina is 1417944513. The last update date is 2012-04-19.
Jose Medina's current location address is Po Box 3550, Valdosta, Georgia. You can contact this provider via phone number 2292471667 and fax number 2292457661. The mailing address for Jose Medina is Po Box 3550, Valdosta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jose Medina |
|---|---|
| Address | Po Box 3550, Valdosta, Georgia |
| Phone Number | 2292471667 |
| Fax Number | 2292457661 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1417944513 |
|---|---|
| Provider Enumeration Date | 2005-10-04 |
| Last Updated Date | 2012-04-19 |
Provider Mailing Address Detail
| Address | Po Box 3550 |
|---|---|
| City | Valdosta |
| State | Georgia (GA) |
| Post Code | 316043550 |
| Phone Number | 2292471667 |
| Fax Number | 2292457661 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 41166 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000686507C | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jose Medina by the Centers for Medicare & Medicaid Services?
The Jose Medina has been assigned the NPI (National Provider Identifier) 1417944513 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Jose Medina is geographically located?
The Jose Medina is physically situated at the following location: Po Box 3550, Valdosta, GA, 316043550.
What is the area of specialization for Jose Medina, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jose Medina is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417944513 to Jose Medina?
The Centers for Medicare & Medicaid Services assigned the 1417944513 to Jose Medina on 2005-10-04.
As of what date were the details pertaining to Jose Medina last refreshed?
The information related to the Jose Medina, including its address, specialty, and other relevant details, was last updated on 2012-04-19.