| Wheeler County Family Medicine | |
|
104 Maple Dr Vidalia GA 30474-8949 | |
| (912) 537-0616 | |
| (912) 537-0617 |
| Full Name | Wheeler County Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 104 Maple Dr, Vidalia, Georgia |
| Authorized Official Name and Position | Odell P Still (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9125370616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wheeler County Family Medicine 104 Maple Dr Vidalia GA 30474-8949 Ph: (912) 537-0616 | Wheeler County Family Medicine 104 Maple Dr Vidalia GA 30474-8949 Ph: (912) 537-0616 |
| NPI Number | 1033314711 |
|---|---|
| Provider Enumeration Date | 06/20/2007 |
| Last Update Date | 02/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033314711 | NPI | - | NPPES |
| 000347751C | Medicaid | GA | |
| 000539624E | Medicaid | GA | |
| 000539624K | Medicaid | GA | |
| 000631474A | Medicaid | GA | |
| 393478520A | Medicaid | GA | |
| 000954533C | Medicaid | GA | |
| 644701462A | Medicaid | GA | |
| 091222821A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 037085 (Georgia) | Primary |
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 |