Vidalia Family Care LLC

NPI #1114733250 in Vidalia, Georgia

Provider Information

NPI Number
1114733250
Entity Type
Organization
Organization Name
Vidalia Family Care LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Dec 4, 2024
Last Updated
Dec 4, 2024

Practice Location

Address
1702 MEADOWS LN
State
Georgia
ZIP Code
30474-7219
Phone
(912) 805-2198

Authorized Official

Name
JOHN BURTON DERRICK, PA-C
Title
CEO
Phone
(912) 293-3308

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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