Vidalia Family Care Llc | |
1702 Meadows Ln Vidalia GA 30474-7219 | |
(912) 805-2198 | |
(912) 805-2997 |
Full Name | Vidalia Family Care Llc |
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Speciality | Clinic/center - Primary Care |
Location | 1702 Meadows Ln, Vidalia, Georgia |
Authorized Official Name and Position | John Burton Derrick (CEO) |
Authorized Official Contact | 9122933308 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vidalia Family Care Llc Po Box 645 Vidalia GA 30475-0645 Ph: (912) 293-3308 | Vidalia Family Care Llc 1702 Meadows Ln Vidalia GA 30474-7219 Ph: (912) 805-2198 |
NPI Number | 1114733250 |
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Provider Enumeration Date | 12/04/2024 |
Last Update Date | 12/04/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114733250 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
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 | |
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 |