| The Migraine And Spine Clinic Of Valdosta Llc | |
|
3315 N Valdosta Rd Suite A Valdosta GA 31602-1107 | |
| (229) 333-9838 | |
| (229) 333-9839 |
| Full Name | The Migraine And Spine Clinic Of Valdosta Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3315 N Valdosta Rd, Valdosta, Georgia |
| Authorized Official Name and Position | Jonathan Sule (MANAGER) |
| Authorized Official Contact | 2293339838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Migraine And Spine Clinic Of Valdosta Llc 3315 N Valdosta Rd Suite A Valdosta GA 31602-1107 Ph: (229) 333-9838 | The Migraine And Spine Clinic Of Valdosta Llc 3315 N Valdosta Rd Suite A Valdosta GA 31602-1107 Ph: (229) 333-9838 |
| NPI Number | 1811342561 |
|---|---|
| Provider Enumeration Date | 05/02/2016 |
| Last Update Date | 05/02/2016 |
| Medicare PECOS PAC ID | 3971881863 |
|---|---|
| Medicare Enrollment ID | O20161027001500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811342561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 60329 (Georgia) | Primary |
| Provider Name | Joshua Y Batson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326430802 PECOS PAC ID: 5395056162 Enrollment ID: I20150619001469 |
| Provider Name | Justin Haskin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194178327 PECOS PAC ID: 1951698273 Enrollment ID: I20160929001188 |
| Provider Name | James R. Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396215703 PECOS PAC ID: 7517208614 Enrollment ID: I20190417001385 |
Lynze Vickers, Lmft, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3350 Noble Way, Suite B, Valdosta, GA 31605 Phone: 229-333-0300 | |
Renewed Mind Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2109 N Patterson St Ste B, Valdosta, GA 31602 Phone: 229-232-4833 Fax: 877-343-0538 | |
Southern Neurology, Physical Medicine & Rehabilitation, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4913 Lanes Pond Rd, Valdosta, GA 31601 Phone: 229-292-2074 | |
Megan Tillman Lmft Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3310 Bemiss Rd, Valdosta, GA 31605 Phone: 229-586-6082 | |
The Healing Touch Counseling Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4072 Mulligan Rd, Valdosta, GA 31605 Phone: 229-356-7190 | |
Greenleaf Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2209 Pineview Dr, Valdosta, GA 31602 Phone: 229-247-4357 Fax: 229-244-6194 | |
Cazales Autism Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2704 N Oak St Bldg A1, Valdosta, GA 31602 Phone: 203-606-1676 Fax: 229-598-0557 |