Joseph Daniel Souders (NPI# 1316460736, PAC ID# 3678849288) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1316460736 |
| PAC ID by PECOS | 3678849288 |
| Professional Enrollment ID | I20171026002235 |
| Full Name | Joseph Daniel Souders |
| Organization Legal Name | BRIAN C. GRINER, MD, LLC |
| Address |
117 W Northside Dr Valdosta GA 31602-1700 |
| Phone Number | 2292426061 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8921190901 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110122 | SOUTH GEORGIA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 117 W Northside Dr, Valdosta, GA 31602-1700 | 2292426061 | BRIAN C. GRINER, MD, LLC |
| Organization Legal Name | BRIAN C. GRINER, MD, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trevor Lawton Davis | Physician Assistant | Brian C. Griner, Md, LLC | 3301 N Oak St Ext, Valdosta, GA 31605 |
| Seth Courson | Internal Medicine | Brian C. Griner, Md, LLC | 3301 N Oak St Ext, Valdosta, GA 31605 |
| Street Address |
117 W NORTHSIDE DR |
| City | VALDOSTA |
| State | GA |
| Zip | 31602-1700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bennett P Hogan | Family Medicine | 117 W Northside Dr, Valdosta, GA 31602-1700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Haskin | Nurse Practitioner | Js Medical Diagnostics, LLC | 3790 Old Us Hwy 41 N, Suite B, Valdosta, GA 31602 |
| Sheri L Swader | Neurology | Js Medical Diagnostics, LLC | 3790 Old Us Hwy 41 N, Suite B, Valdosta, GA 31602 |
| Judit T Sule | Internal Medicine | Js Medical Diagnostics, LLC | 3790 Old Us Hwy 41 N, Suite B, Valdosta, GA 31602 |
| Revajo S Broadwater | Physical Therapy | 3537 N Crossing Circle, Valdosta, GA 31602-1019 | |
| Barbara F Frier | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Mary Fulp-pye | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Jennifer Kenyon | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Joel Leland Morgan | Psychiatry | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Janice L Breidenstein | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Eric Christian Stiefel | Orthopedic Surgery | Valdosta Orthopedic Associates PC | 3527 N Valdosta Rd, Valdosta, GA 31602-1055 |
| Find all physicians in zip 31602 | |||
| City | VALDOSTA |
| Zip Code | 31602 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | VALDOSTA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Joseph Daniel Souders.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.