JOSE MEDINA MD PC
Ambulatory Health at Greystone Way, Valdosta, GA

License number
Georgia 041166
Category
Ambulatory Health
Type
Multi-Specialty
Owner
Name: DR. JOSE MEDINA MD
Title: OWNER
Phone: (229) 247-1667
Address
Address
3334 Greystone Way, Valdosta, GA 31605
National Provider ID: 1407047269
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JOSE MEDINA, MD PC

PO Box 3550, Valdosta, GA 31604

Industry:
Pulmonologist, Internist
Doing business as:
Jose Medina MD
Registration:
Jan 20, 1998
Phone:
(229) 247-1667 (Phone)
State ID:
K803535
Business type:
Domestic Professional Corporation
S:
Medina Jose Md (CEO), 3334 Greystone Way, Valdosta, GA 31605 (Physical),Rosalia Medina (Secretary), 3334 Greystone Way, Valdosta, GA 31605 (Physical),Jose Medina
Agent:
Jose Medina, Md, Pc,3334 Greystone Way, Valdosta, GA (Physical)

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