Whalio Doctors

NPI 1245484427

Grant Nh LLC

Organisation Internal Medicine Physician Valdosta, GA

Practice location

Address
814 Northwood Park Dr, Valdosta, GA 31602-1398
Phone
(229) 259-0032

Authorised official

Name
Douglas Moss
Title
Member
Phone
(229) 259-0032

Registered specialties

Internal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Registry record

NPI
1245484427
Entity type
Organization
NPI issued
14 Nov 2008
Record last updated
5 Jan 2012

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.