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THE MIGRAINE AND SPINE CLINIC OF VALDOSTA LLC NPI 1811342561


NPI Information

NPI: 1811342561
Provider Name: THE MIGRAINE AND SPINE CLINIC OF VALDOSTA LLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
3315 N VALDOSTA RD
SUITE A
VALDOSTA, GA
ZIP 31602
Phone: (229) 333-9838
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THE MIGRAINE AND SPINE CLINIC OF VALDOSTA LLC is a neurology psychiatry neurology in Valdosta, GA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. THE MIGRAINE AND SPINE CLINIC OF VALDOSTA LLC NPI is 1811342561. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3315 N VALDOSTA RD
SUITE A
VALDOSTA, GA
ZIP 31602-107
Phone: (229) 333-9838
Fax: (229) 333-9839

The provider's authorized official is Jonathan Sule .
The authorized official title is Manager and has the following contact phone number (229) 333-9838.

The enumeration date for this NPI number is 5/2/2016 and was last updated on 5/2/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology60329GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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