Organization
INTEGRATIVE HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY MICHELLE KUMPEL MD (PRESIDENT)
(229) 333-9632
Entity
Organization
Contact information
Practice address
2935 N ASHLEY ST, SUITE 114, VALDOSTA, GA 31602-1777
(229) 219-1831
Mailing address
2935 N ASHLEY ST STE 114, VALDOSTA, GA 31602-1788
(229) 219-1831
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
54448
GA
Other
Enumeration date
07/22/2011
Last updated
02/29/2012
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