Organization
VALDOSTA PODIATRY ASSOCIATES, PC
Active
Other names
North Oak Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY E PITTS D.P.M (MEDICAL DIRECTOR/PHYSICIAN)
(229) 242-3668
Entity
Organization
Contact information
Practice address
2718 N OAK ST, VALDOSTA, GA 31602-1781
(229) 242-3668
(229) 253-8666
Mailing address
2718 N OAK ST, VALDOSTA, GA 31602-1781
(229) 242-3668
(229) 253-8666
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
092-146
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000489673A
—
GA
Enumeration date
06/14/2006
Last updated
10/03/2008
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