Organization
LIFE CARE FAMILY MEDICINE,PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS A UWAGERIKPE M.D. (OWNER)
(229) 247-9833
Entity
Organization
Contact information
Practice address
3332 BEMISS RD, VALDOSTA, GA 31605-7014
(229) 247-9833
Mailing address
3332 BEMISS RD, VALDOSTA, GA 31605-7014
(229) 247-9833
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
056779
GA
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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