Individual
RITA ELIZABETH MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2418 N OAK ST STE B2, VALDOSTA, GA 31602-2576
(229) 433-1838
(928) 814-9529
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001
(928) 214-3531
(928) 814-9529
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
036142211
IL
207RI0200X
Infectious Disease Physician
58329
AZ
207RI0200X
Infectious Disease Physician
Primary
88496
GA
Other
Enumeration date
05/13/2014
Last updated
09/20/2021
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