| Jeri L Sheffield, D.O., P.C. | |
|
4066 Foxborough Blvd Valdosta GA 31602-6740 | |
| (229) 247-1163 | |
| (229) 249-9799 |
| Full Name | Jeri L Sheffield, D.O., P.C. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4066 Foxborough Blvd, Valdosta, Georgia |
| Authorized Official Name and Position | Jeri Lynn Sheffield (PRESIDENT) |
| Authorized Official Contact | 2292471163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeri L Sheffield, D.O., P.C. 4066 Foxborough Blvd Valdosta GA 31602-6740 Ph: (229) 247-1163 | Jeri L Sheffield, D.O., P.C. 4066 Foxborough Blvd Valdosta GA 31602-6740 Ph: (229) 247-1163 |
| NPI Number | 1962746701 |
|---|---|
| Provider Enumeration Date | 11/17/2012 |
| Last Update Date | 11/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962746701 | NPI | - | NPPES |
| 000850121A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 047945 (Georgia) | Primary |
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