DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOSE MEDINA, MD

Active Sole Proprietor

DR. JOSE MEDINA, MD is a Pulmonary Disease healthcare provider located in VALDOSTA, Georgia. NPI 1417944513 is currently active in the NPPES registry. Verify at CMS.

Pulmonary Disease · VALDOSTA, GA

Registration Details

NPI Number
1417944513
Provider Type
Individual
Gender
Male
NPI Issued
Oct 4, 2005 (20.873254121771 yrs)
Last Updated
Apr 19, 2012
Licenses
041166 (GA)
041166 (GA)
041166 (GA)
041166 (GA)
Sole Proprietor
Yes

Practice Information

Address
3334 GREYSTONE WAY
VALDOSTA, GA, 31605
Browse GA providers · Browse ZIP 31605
Phone
2292471667
Fax
2292457661
Primary Specialty
Pulmonary Disease
207RP1001X
Additional Specialty
Critical Care Medicine
Additional Specialty
Pulmonary Disease
Additional Specialty
Sports Medicine (IM)

Other Pulmonary Disease Providers in VALDOSTA, GA

Name Credential NPI
MILLEDGE C NEWTON JR. MD 1255369435
GREGORY S BEALE M.D. 1497782817
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.