Organization
VALDOSTA MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN BUSH MANAGER (MANAGER)
(229) 242-8480
Entity
Organization
Contact information
Practice address
3207 COUNTRY CLUB DR, VALDOSTA, GA 31605-1029
(229) 242-8480
(229) 241-0252
Mailing address
3207 COUNTRY CLUB DR., VALDOSTA, GA 31605
(229) 242-8480
(229) 242-0070
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2007
Last updated
01/29/2015
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