Organization · Type 2 NPI
Vidalia Family Care LLC
Primary Care Clinic/Center · Vidalia, GA
NPI number
1114733250
Active
Practice location
1702 Meadows Ln
Vidalia, GA 30474-7219
Fax (912) 805-2997
Mailing address
PO Box 645
Vidalia, GA 30475-0645
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
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About NPI 1114733250
Vidalia Family Care LLC's National Provider Identifier is 1114733250, issued on Dec 4, 2024. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Vidalia, GA. The record was last updated on Dec 4, 2024.