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1122 North St W Vidalia GA 30474-3214 | |
(912) 537-8488 | |
(912) 537-7303 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 1122 North St W, Vidalia, Georgia |
Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
Authorized Official Contact | 6154686270 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Ste 400 Brentwood TN 37027-7048 Ph: () - | 1122 North St W Vidalia GA 30474-3214 Ph: (912) 537-8488 |
NPI Number | 1447739545 |
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Provider Enumeration Date | 08/09/2018 |
Last Update Date | 09/20/2023 |
Identifier | Type | State | Issuer |
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1447739545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Wheeler County Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Maple Dr, Vidalia, GA 30474 Phone: 912-537-0616 Fax: 912-537-0617 | |
Vidalia Family Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1702 Meadows Ln, Vidalia, GA 30474 Phone: 912-805-2198 Fax: 912-805-2997 | |
Wiggins Family Practice Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Arlington Dr, Vidalia, GA 30474 Phone: 912-537-2530 Fax: 912-537-2540 | |
Vidalia Neurology Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1707 Meadows Lane, Suite A, Vidalia, GA 30474 Phone: 912-537-9779 |