Organization · Type 2 NPI

Vidalia Women's Center, LLC

Specialist · Vidalia, GA

NPI number 1952507592 Active

Practice location

101 Harris Industrial Blvd., Suite C
Vidalia, GA 30474-8845

Call (912) 537-1014 Map

Fax (912) 538-0979

Mailing address

PO Box 407
Vidalia, GA 30475-0407

Other practice locations

1707 Meadows Ln Ste A, Vidalia, GA 30474-7201 · (912) 537-1014
278 S Main St, Baxley, GA 31513-0102 · (833) 644-5433

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	None listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Other specialist providers in Vidalia

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NPI record

NPI: 1952507592
Entity type: Organization (Type 2)
Issued: Jun 21, 2007
Last updated: Aug 28, 2019
Status: Active
Subpart: Yes of Southeast Regional Primary Care Corporation

Other names

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Vidalia Women's Center · doing business as
Vidalia Women's Center · doing business as

Authorized official

Tony M Osteen
CFO
(912) 538-5314

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 1952507592

Vidalia Women's Center, LLC's National Provider Identifier is 1952507592, issued on Jun 21, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Vidalia, GA. The record was last updated on Aug 28, 2019.