# INNOVATIVE PHYSICIANS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477812410
- **Authorized official:** MS. PAM JONES (OFFICE MANAGER)
- **Authorized official phone:** (229) 242-6670

## Contact information

- **Practice address:** 3368 GREYSTONE WAY, VALDOSTA, GA 31605-1096
- **Practice address phone:** (229) 242-6670
- **Practice address fax:** (229) 242-6671
- **Mailing address:** 3368 GREYSTONE WAY, VALDOSTA, GA 31605-1096
- **Mailing address phone:** (229) 242-6670
- **Mailing address fax:** (229) 242-6671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2012
- **Last updated:** 05/15/2012