| Southeast Ga Primary Prevent | |
|
1811 Edwina Dr Vidalia GA 30474-8963 | |
| (912) 537-9779 | |
| (912) 537-2124 |
| Full Name | Southeast Ga Primary Prevent |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
Vidalia Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 Mose Coleman Dr, Vidalia, GA 30474 Phone: 912-537-2200 Fax: 912-537-2260 | |
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 | |
Meadows Medical Group Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 E 1st St Ste B, Vidalia, GA 30474 Phone: 912-535-5120 | |
Optim Primary Care-vidalia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1811 Edwina Drive, Vidalia, GA 30474 Phone: 912-537-9779 Fax: 912-537-2124 | |
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 | |
Williams Rural Surgical & Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1604 Meadows Ln, Vidalia, GA 30474 Phone: 912-245-4179 Fax: 912-403-3346 |