Southeast Ga Primary Prevent | |
1811 Edwina Dr Vidalia GA 30474-8963 | |
(912) 537-9779 | |
(912) 537-2124 |
Full Name | Southeast Ga Primary Prevent |
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Speciality | Family Medicine |
Location | 1811 Edwina Dr, Vidalia, Georgia |
Authorized Official Name and Position | Lisa W. Bush (BILLING MANAGER) |
Authorized Official Contact | 9125379779 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southeast Ga Primary Prevent 1811 Edwina Dr Vidalia GA 30474-8963 Ph: (912) 537-9779 | Southeast Ga Primary Prevent 1811 Edwina Dr Vidalia GA 30474-8963 Ph: (912) 537-9779 |
NPI Number | 1649470410 |
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Provider Enumeration Date | 07/20/2007 |
Last Update Date | 05/08/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649470410 | NPI | - | NPPES |
000978128I | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 052930 (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 |