# LIFE CARE FAMILY MEDICINE,PSC

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

## Provider details

- **NPI number:** 1821100215
- **Authorized official:** LOUIS A UWAGERIKPE M.D. (OWNER)
- **Authorized official phone:** (229) 247-9833

## Contact information

- **Practice address:** 3332 BEMISS RD, VALDOSTA, GA 31605-7014
- **Practice address phone:** (229) 247-9833
- **Mailing address:** 3332 BEMISS RD, VALDOSTA, GA 31605-7014
- **Mailing address phone:** (229) 247-9833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 056779 | GA | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2020