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Jose Medina, MD

NPI 1417944513 · on the registry since 2005 · sole proprietor

Practice

Address
3334 Greystone Way
Valdosta, GA 31605
Phone
(229) 247-1667
Fax
(229) 245-7661
Organisation at this address
Jose Medina Md Pc
Valdosta Allergy, Asthma, & Immunology, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
207RP1001X
207RP1001X
Also registered as
207R00000X
207RC0200X
207RS0012X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-04-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia