Organization · Type 2 NPI

The Baxley & Appling County Hospital Authority

Multi-Specialty Clinic/Center · Vidalia, GA

NPI number 1851959985 Active

Practice location

1702 Meadows Ln Ste A
Vidalia, GA 30474-7220

Call (912) 705-4905 Map

Fax (912) 705-4906

Mailing address

PO Box 2070
Baxley, GA 31515-2070

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

Another provider at this address

Timothy Caron Horton, MDPediatrics Physician Vidalia, GA NPI 1437218013

Other multi-specialty clinic/center providers in Vidalia

Southeast Regional Primary Care CorporationMulti-Specialty Clinic/Center Vidalia, GA NPI 1467568907

See all in Vidalia →

NPI record

NPI: 1851959985
Entity type: Organization (Type 2)
Issued: Jun 4, 2019
Last updated: Jan 15, 2020
Status: Active
Subpart: Yes of The Baxley & Appling County Hospital Authority

Other names

Appling Healthcare Group of Vidalia · doing business as

Authorized official

Randall Terry Crawford
CEO
(912) 367-9841

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1851959985

The Baxley & Appling County Hospital Authority's National Provider Identifier is 1851959985, issued on Jun 4, 2019. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Vidalia, GA. The record was last updated on Jan 15, 2020.