Individual
SUHEIDY ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 S PATTERSON ST, VALDOSTA, GA 31601-5621
(229) 245-6001
Mailing address
PO BOX 1187, VALDOSTA, GA 31603-1187
(229) 245-6001
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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