Quality Group Service Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

30590 Issued in GA

Legal business name

QUALITY GROUP SERVICE INC

Practice address

3338 Country Club Rd Ste L
Ste. 200
Valdosta, GA 31605-7425

Phone

(678) 576-1308

NPI assigned

Jul 23, 2009

Last updated

Sep 4, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miguel Alonso

Title

President

Phone

(678) 576-1308

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1184854226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3338 COUNTRY CLUB RD STE L",
            "address_2": "STE. 200",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316057425",
            "telephone_number": "678-576-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3338 COUNTRY CLUB RD STE L",
            "address_2": "STE. 200",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316057425",
            "telephone_number": "678-576-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY GROUP SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "ALONSO",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-576-1308"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "30590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.