Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HEALTHSOURCE MEDICAL CLINIC PC
Active OrganizationHEALTHSOURCE MEDICAL CLINIC PC is a Family Nurse Practitioner organization located in VALDOSTA, Georgia. NPI 1619271103 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · VALDOSTA, GA
Registration Details
- NPI Number
- 1619271103
- Provider Type
- Organization
- NPI Issued
- Dec 27, 2010 (15.62253489959 yrs)
- Last Updated
- Jan 13, 2016
- License
-
RN130256 (GA)
Practice Information
- Address
-
1609 NORMAN DRSTE A-1VALDOSTA, GA, 316013753Browse GA providers · Browse ZIP 31601
- Phone
- 2292451004
- Fax
- 2292451074
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.