Jose Medina Md Pc in Valdosta - Multi-specialty
Jose Medina Md Pc - NPI 1407047269
Jose Medina Md Pc is a Multi-specialty in Valdosta, Georgia. Jose Medina Md Pc practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Jose Medina Md Pc is 1407047269. The last update date is 2010-06-15.
Jose Medina Md Pc's current location address is Po Box 3550, Valdosta, Georgia. You can contact this provider via phone number 2292471667 and fax number 2292473456. The mailing address for Jose Medina Md Pc is Po Box 3550, Valdosta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jose Medina Md Pc |
|---|---|
| Address | Po Box 3550, Valdosta, Georgia |
| Phone Number | 2292471667 |
| Fax Number | 2292473456 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Medina Jose |
| Credentials | MD |
| Telephone Number | 2292471667 |
NPI Number Detail
| NPI Number | 1407047269 |
|---|---|
| Provider Enumeration Date | 2007-08-07 |
| Last Updated Date | 2010-06-15 |
Provider Mailing Address Detail
| Address | Po Box 3550 |
|---|---|
| City | Valdosta |
| State | Georgia (GA) |
| Post Code | 316043550 |
| Phone Number | 2292471667 |
| Fax Number | 2292473456 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
| Licence No | 41166 |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00686507C | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jose Medina Md Pc by the Centers for Medicare & Medicaid Services?
The Jose Medina Md Pc has been assigned the NPI (National Provider Identifier) 1407047269. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jose Medina Md Pc's facilities are geographically located?
The facilities of Jose Medina Md Pc are physically situated at the following location: Po Box 3550, Valdosta, GA, 316043550.
What is Jose Medina Md Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jose Medina Md Pc is Multi-specialty, and the taxonomy code that categorizes this field of expertise is 261Qm1300X.
When did the Jose Medina Md Pc receive its 1407047269?
The Jose Medina Md Pc was issued its 1407047269 on 2007-08-07, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Jose Medina Md Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jose Medina Md Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-06-15.