HEALTHSOURCE MEDICAL CLINIC PC is a family nurse practitioner in Valdosta, GA. HEALTHSOURCE MEDICAL CLINIC PC NPI is 1619271103. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1609 NORMAN DR
STE A-1
VALDOSTA, GA
ZIP 31601-753
Phone: (229) 245-1004
Fax: (229) 245-1074
The provider's authorized official is Cristi Leigh Godwin .
The authorized official title is President and has the following contact phone number (229) 245-1004.
The enumeration date for this NPI number is 12/27/2010 and was last updated on 1/13/2016.