| Pineland Mh/mr/sa Csb | |
|
901 North St W Vidalia GA 30474-3503 | |
| (912) 537-9316 | |
| (912) 537-9915 |
| Full Name | Pineland Mh/mr/sa Csb |
|---|---|
| Speciality | Clinic/center |
| Location | 901 North St W, Vidalia, Georgia |
| Authorized Official Name and Position | June A Dipolito (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9127646906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pineland Mh/mr/sa Csb 5 W Altman St Statesboro GA 30458-5212 Ph: (912) 764-6906 | Pineland Mh/mr/sa Csb 901 North St W Vidalia GA 30474-3503 Ph: (912) 537-9316 |
| NPI Number | 1760658587 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 05/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760658587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | LPN068072 (Georgia) | 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 |