Organization
CARE MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES RYAN MOORMAN DC (MANAGER)
(229) 241-8925
Entity
Organization
Contact information
Practice address
2804 N OAK ST, SUITE C, VALDOSTA, GA 31602-1716
(229) 241-8925
(229) 241-7672
Mailing address
2804 N OAK ST, SUITE C, VALDOSTA, GA 31602-1716
(229) 241-8925
(229) 241-7672
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
302F00000X
Exclusive Provider Organization
Primary
007773
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP6935
MEDICARE GROUP
GA
Enumeration date
08/30/2006
Last updated
03/16/2026
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