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2501 N Patterson St Valdosta GA 31602-1735 | |
(229) 433-1000 | |
Not Available |
Full Name | |
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Speciality | General Acute Care Hospital |
Location | 2501 N Patterson St, Valdosta, Georgia |
Authorized Official Name and Position | Julie Hodges (CONTROLLER) |
Authorized Official Contact | 2292594140 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 9 Valdosta GA 31603-0009 Ph: (229) 433-1000 | 2501 N Patterson St Valdosta GA 31602-1735 Ph: (229) 433-1000 |
NPI Number | 1306896253 |
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Provider Enumeration Date | 05/11/2006 |
Last Update Date | 08/14/2023 |
Certification Date | 08/14/2023 |
Identifier | Type | State | Issuer |
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1306896253 | NPI | - | NPPES |
000001724B | Medicaid | GA | |
000001724G | Medicaid | GA | |
000001724A | Medicaid | GA |
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