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Organization
VALDOSTA FAMILY MEDICINE ASSOCIATES, P.C.
Active
Organization
VALDOSTA FAMILY MEDICINE ASSOCIATES, P.C.
Active
Other names
Valdosta Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG E BISHOP D.O. (MANAGING PARTNER)
(229) 244-1400
Entity
Organization
Contact information
Practice address
2412 N OAK ST, VALDOSTA, GA 31602-2567
(229) 244-1400
(229) 244-5512
Mailing address
2412 N OAK ST, VALDOSTA, GA 31602-2567
(229) 244-1400
(229) 244-5512
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIRO02539
GA
207Q00000X
Family Medicine Physician
029930
GA
207Q00000X
Family Medicine Physician
029951
GA
207Q00000X
Family Medicine Physician
030242
GA
207Q00000X
Family Medicine Physician
Primary
045725
GA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
044001
GA
207RG0100X
Gastroenterology Physician
041290
GA
207RR0500X
Rheumatology Physician
041978
GA
207Y00000X
Otolaryngology Physician
008563
GA
363A00000X
Physician Assistant
003072
GA
363A00000X
Physician Assistant
004094
GA
363A00000X
Physician Assistant
004849
GA
363LF0000X
Family Nurse Practitioner
RN154901
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55001045A
—
GA
01
—
GRP1391
MEDICARE
GA
Enumeration date
10/27/2006
Last updated
12/28/2021
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