Jose Medina MD PC
Jose Medina MD PC is a Multi-Specialty Clinic/Center in Valdosta, Georgia. Licensed in Georgia. Registered with an NPI since 2007.
- Licensed in
- GA
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3334 Greystone WayValdosta, GA 31605-1096
Phone: (229) 247-1667
Fax: (229) 247-3456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X · Licence 041166 (GA) |
|---|
Record details
| NPI number | 1407047269 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jose Medina — Owner · (229) 247-1667 |
| NPI enumerated | August 7, 2007 |
| Last updated in NPPES | June 15, 2010 |
| Mailing address | Po Box 3550, Valdosta, GA 31604-3550 |
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