NPI 1164801460

Georgia Correctional Health Care

Organisation Public Health or Welfare Agency Valdosta, GA

Practice location

Address: 3259 Val Tech Rd, Valdosta, GA 31602-9309
Phone: (229) 249-4971
Mailing address: 5899 Old US 41 N, Hahira, GA 31632-2427

Authorised official

Name: Billy Nichols
Title: Statewide Medical Director
Phone: (229) 249-4971

Registered specialties

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X Licence RN135376 (GA)

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Registry record

NPI: 1164801460
Entity type: Organization
NPI issued: 20 May 2015
Record last updated: 20 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.