JOSE MEDINA

VALDOSTA, GA
NPI1417944513
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: GA  041166)
Additional Taxonomies207R00000X Internal Medicine
(Licence: GA  041166)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: GA  041166)
207RS0012X Internal Medicine, Sleep Medicine
(Licence: GA  041166)
Enumeration Date2005-10-04
Last Update Date2012-04-19
Business Address
Dr. JOSE MEDINA MD
3334 GREYSTONE WAY
VALDOSTA, GA 31605
Phone number: 229-247-1667
Mailing Address
Dr. JOSE MEDINA MD
PO BOX 3550
VALDOSTA, GA 31604-3550
Phone number: 229-247-1667