Organization
NATIONAL FAMILY MEDICAL ASSOCIATES OF GEORGIA, LLC
Active
Other names
VIPcare
Organization subpart
No
Provider details
NPI number
Authorized official
SRIRAM SUNDARAMOORTHY (CHIEF COMPLIANCE OFFICER)
(813) 444-5838
Entity
Organization
Contact information
Practice address
353 NORTHSIDE DR, VALDOSTA, GA 31602-1861
(229) 588-8042
(229) 588-8044
Mailing address
601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL 33602-5925
(813) 444-5838
(833) 495-7206
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
03/15/2024
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