Valdosta Medical Clinic in Valdosta - Multi-specialty
Valdosta Medical Clinic - NPI 1538200035
Valdosta Medical Clinic is a Multi-specialty in Valdosta, Georgia. Valdosta Medical Clinic practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Valdosta Medical Clinic is 1538200035. The last update date is 2015-01-29.
Valdosta Medical Clinic's current location address is 3207 Country Club Dr., Valdosta, Georgia. You can contact this provider via phone number 2292428480 and fax number 2292420070. The mailing address for Valdosta Medical Clinic is 3207 Country Club Dr., Valdosta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Valdosta Medical Clinic |
|---|---|
| Address | 3207 Country Club Dr., Valdosta, Georgia |
| Phone Number | 2292428480 |
| Fax Number | 2292420070 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Bush Robin |
| Credentials | MANAGER |
| Telephone Number | 2292428480 |
NPI Number Detail
| NPI Number | 1538200035 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2015-01-29 |
Provider Mailing Address Detail
| Address | 3207 Country Club Dr. |
|---|---|
| City | Valdosta |
| State | Georgia (GA) |
| Post Code | 31605 |
| Phone Number | 2292428480 |
| Fax Number | 2292420070 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
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Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
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What is the Valdosta Medical Clinic's unique identification number?
The Valdosta Medical Clinic has been assigned the NPI (National Provider Identifier) Number 1538200035 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Valdosta Medical Clinic located?
The Valdosta Medical Clinic is located at 3207 Country Club Dr., Valdosta, GA 31605.
What is Valdosta Medical Clinic's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Valdosta Medical Clinic is Multi-specialty, and the taxonomy code that classifies this field of practice is 261Qm1300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1538200035 to Valdosta Medical Clinic?
The Centers for Medicare & Medicaid Services assigned the 1538200035 to Valdosta Medical Clinic on 2007-02-09.
As of what date was the information regarding Valdosta Medical Clinic, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Valdosta Medical Clinic, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-01-29.