# PARROTT MEDICAL CLINIC PC

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

## Provider details

- **NPI number:** 1912138116
- **Authorized official:** DR. JONATHAN R PARROTT M.D. (OWNER/PHYSICIAN)
- **Authorized official phone:** (229) 249-7888

## Contact information

- **Practice address:** 804 NORTHWOOD PARK DR, VALDOSTA, GA 31602-1392
- **Practice address phone:** (229) 249-7888
- **Practice address fax:** (229) 241-7810
- **Mailing address:** PO BOX 3225, VALDOSTA, GA 31604-3225
- **Mailing address phone:** (229) 249-7888
- **Mailing address fax:** (229) 241-7810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 036246 | GA | Yes |

## Other

- **Enumeration date:** 08/05/2009
- **Last updated:** 08/05/2009