Healthcare Provider Details

I. General information

NPI: 1376487207
Provider Name (Legal Business Name): ALDERMAN ENTERPRISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 WOODROW WILSON DR
VALDOSTA GA
31602-2628
US

IV. Provider business mailing address

9319 GA HIGHWAY 135
NAYLOR GA
31641-2007
US

V. Phone/Fax

Practice location:
  • Phone: 229-560-8048
  • Fax: 888-228-8023
Mailing address:
  • Phone: 229-560-8048
  • Fax: 888-228-8023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: DR. CLARISSA ALDERMAN
Title or Position: CEO
Credential: PHD
Phone: 229-560-8048