OrganizationActive
Care Medical Center, LLC
NPI 1861760613 · Non-Pharmacy Dispensing Site · Valdosta, GA
Provider details
- NPI number
- 1861760613
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Care Medical Center, LLC
- Organization subpart
- Yes
- Authorized official
- Geoffrey Jones, Medical Director(229) 241-8925
Specialties & taxonomies
Suppliers
Practice location
2804 N Oak St Ste C
Valdosta, GA 31602-5913
Phone: (229) 241-8925
Approximate (ZIP-level) locationGet directions
Mailing address
2980 N Beverly Glen Cir
Los Angeles, CA 90077-1726
Registry dates
- Enumerated
- 2011-12-08
- Last updated
- 2011-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.