Organization
VALDOSTA MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PREM KUMAR M.D. (MANAGER)
(229) 247-7700
Entity
Organization
Contact information
Practice address
3300 GREYSTONE WAY, VALDOSTA, GA 31605-7427
(229) 247-7700
Mailing address
1310 DEERBROOK DR, VALDOSTA, GA 31602-4245
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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