MEDICARE: DR. VALERIE P FLETCHER M.D.

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
1	207RI0200X	Infectious Disease Physician	35081729	OH
2	207RI0200X	Infectious Disease Physician	058471	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316053143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VALERIE P FLETCHER M.D.

Provider Business Mailing Address
First Line	:	500 18TH ST
Second Line	:	SIUTE B40
City	:	COLUMBUS
State	:	GA
Zip	:	31901-1536
Country	:	US
Telephone Number	:	706-649-9955
Fax Number	:	706-649-9958

Provider Business Practice Location Address
First Line	:	500 18TH ST
Second Line	:	SIUTE B40
City	:	COLUMBUS
State	:	GA
Zip	:	31901-1536
Country	:	US
Telephone Number	:	706-649-9955
Fax Number	:	706-649-9958

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	03/18/2008

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