Organization
VALDOSTA CHILDREN'S HEALTHCARE CENTER ,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASBIR S GILL MD (PRESIDENT)
(229) 247-7350
Entity
Organization
Contact information
Practice address
105 W CRANFORD AVE, VALDOSTA, GA 31602-2930
(229) 247-7350
(229) 242-1730
Mailing address
105 W CRANFORD AVE, VALDOSTA, GA 31602-2930
(229) 247-7350
(229) 242-1730
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
08/03/2006
Last updated
09/06/2011
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