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NPI Code Detail

MEDICARE: PARTNERSHIP HEALTH CENTER

MEDICARE: PARTNERSHIP HEALTH CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QC1500XCommunity Health Clinic/Center

General Provider Information

NPI Number : 1124548300
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARTNERSHIP HEALTH CENTER
Provider Business Mailing Address
First Line : 520 GRIFFIN AVE
Second Line :
City : VALDOSTA
State : GA
Zip : 31601-6331
Country : US
Telephone Number : 229-245-0020
Fax Number : 229-245-9855
Provider Business Practice Location Address
First Line : 520 GRIFFIN AVE
Second Line :
City : VALDOSTA
State : GA
Zip : 31601-6331
Country : US
Telephone Number : 229-245-0020
Fax Number : 229-245-9855
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. JOHN WALTER SPARKS
Credential :
Telephone Number : 229-245-0020
Provider Enumeration Date : 06/20/2017
Last Update Date : 04/08/2025

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Directions to “PARTNERSHIP HEALTH CENTER ” Practice Location

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