| Valdosta Internal Medicine | |
|
3308 Greystone Way Valdosta GA 31605-1096 | |
| (229) 468-9166 | |
| (229) 468-9188 |
| Full Name | Valdosta Internal Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 3308 Greystone Way, Valdosta, Georgia |
| Authorized Official Name and Position | Robert Bonds Tucker (CEO) |
| Authorized Official Contact | 2294689166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valdosta Internal Medicine Po Box 749 Ocilla GA 31774-0749 Ph: (229) 468-9166 | Valdosta Internal Medicine 3308 Greystone Way Valdosta GA 31605-1096 Ph: (229) 468-9166 |
| NPI Number | 1376207985 |
|---|---|
| Provider Enumeration Date | 10/29/2021 |
| Last Update Date | 10/22/2024 |
| Medicare PECOS PAC ID | 1951395920 |
|---|---|
| Medicare Enrollment ID | O20220211001082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376207985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Joseph S Thomas M D Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Connell Rd, Ste T, Valdosta, GA 31602 Phone: 229-242-9565 Fax: 229-242-1725 | |
Care Medical Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2804 N Oak St, Suite C, Valdosta, GA 31602 Phone: 229-241-8925 Fax: 229-241-7672 | |
Griner Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3301 N Oak Street Ext, Valdosta, GA 31605 Phone: 229-242-6061 Fax: 229-242-6151 | |
Valdosta Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Greystone Way, Valdosta, GA 31605 Phone: 229-247-7700 | |
Valdosta Gastroenterology Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 Connell Rd, Valdosta, GA 31602 Phone: 229-244-1570 Fax: 229-247-1084 | |
Partnership Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Griffin Ave, Valdosta, GA 31601 Phone: 229-245-0020 Fax: 229-245-9855 | |
Bennett P Hogan Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 W Northside Dr, Valdosta, GA 31602 Phone: 229-333-0616 Fax: 229-333-0647 |