Organization
JS MEDICAL DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN SULE M.D. (PRESIDENT)
(229) 292-2147
Entity
Organization
Contact information
Practice address
3790 OLD US HWY 41 N, SUITE B, VALDOSTA, GA 31602
(229) 241-8811
Mailing address
4215 OAK FOREST DR, VALDOSTA, GA 31602-5007
(229) 292-2147
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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