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Contact Information

JOSE MEDINA, MD
3334 GREYSTONE WAY
VALDOSTA, GA31605
 Phone: 229-247-1667
 Fax: 229-245-7661
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOSE MEDINA · (Male)

NPI Number 1417944513
Status Active
Credentials MD
Entity Individual
Enumeration date 10/04/2005
Last updated 04/19/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 041166
  • GA Medicaid 000686507C
Hospital affiliation(s)
  • MADISON COUNTY MEMORIAL HOSPITAL - (Critical Access)
    309 NE MARION ST
    MADISON, FL 32340
  • MADISON COUNTY MEMORIAL HOSPITAL - (Critical Access)
    309 NE MARION ST
    MADISON, FL 32340
  • MEMORIAL HOSPITAL OF ADEL INC - (Acute Care)
    706 N PARRISH AVE
    ADEL, GA 31620
  • MEMORIAL HOSPITAL OF ADEL INC - (Acute Care)
    706 N PARRISH AVE
    ADEL, GA 31620
  • SOUTH GEORGIA MEDICAL CENTER - (Acute Care)
    2501 NORTH PATTERSON STREET, PO BOX 1727
    VALDOSTA, GA 31603
  • SOUTH GEORGIA MEDICAL CENTER - (Acute Care)
    2501 NORTH PATTERSON STREET, PO BOX 1727
    VALDOSTA, GA 31603
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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