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1366840258
VALDOSTA HEALTH & WELLNESS CLINIC INC
VALDOSTA, GA
NPI
1366840258
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Entity Type
Organization
Authorized Contact
TRACEY Q LIVINGSTON
Owner
229-469-6137
Organization Subpart ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
Enumeration Date
2014-12-09
Last Update Date
2014-12-09
Business Address
VALDOSTA HEALTH & WELLNESS CLINIC INC
3328 BEMISS RD
VALDOSTA, GA 31605-7014
Phone number: 229-469-6137
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Mailing Address
VALDOSTA HEALTH & WELLNESS CLINIC INC
103 GOOD HOPE CIR
NAYLOR, GA 31641-3657
Phone number:
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