Vidalia Family Health Clinic LLC

NPI #1205078979 in Vidalia, Georgia

Provider Information

NPI Number
1205078979
Entity Type
Organization
Organization Name
Vidalia Family Health Clinic LLC
Primary Specialty
Specialist
Enumeration Date
Mar 27, 2009
Last Updated
Mar 27, 2009

Practice Location

Address
1811 MANNING DR
State
Georgia
ZIP Code
30474-8921
Phone
(912) 537-7674

Authorized Official

Name
MR. THOMAS FERRARI, M.D.
Title
PHYSICIAN
Phone
(912) 537-7476

Specialties & Taxonomy Codes

Specialty
Specialist

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