Organization
INNOVATIVE PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAM JONES (OFFICE MANAGER)
(229) 242-6670
Entity
Organization
Contact information
Practice address
3368 GREYSTONE WAY, VALDOSTA, GA 31605-1096
(229) 242-6670
(229) 242-6671
Mailing address
3368 GREYSTONE WAY, VALDOSTA, GA 31605-1096
(229) 242-6670
(229) 242-6671
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/11/2012
Last updated
05/15/2012
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