Individual
ENRIQUE VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
840 PINE ST STE 500, MACON, GA 31201-7530
(478) 633-8682
(478) 633-8698
Mailing address
840 PINE ST STE 500, MACON, GA 31201-7530
(478) 633-8682
(478) 633-8698
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN284102
GA
Other
Enumeration date
01/08/2024
Last updated
01/22/2024
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