Organization
VALDOSTA WOMENS HEALTH CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ANTHONY COURSON (BUSINESS MANAGER)
(229) 333-0277
Entity
Organization
Contact information
Practice address
604 E PARK AVE, VALDOSTA, GA 31602-3060
(229) 333-0277
(229) 241-1608
Mailing address
PO BOX 2130, VALDOSTA, GA 31604-2130
(229) 333-0277
(229) 241-1608
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055002367A
—
GA
Enumeration date
07/30/2006
Last updated
01/18/2019
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