Vidalia Ob Gyn

NPI #1437356359 in Vidalia, Georgia

Provider Information

NPI Number
1437356359
Entity Type
Organization
Organization Name
Vidalia Ob Gyn
Primary Specialty
Independent Medical Examiner
Enumeration Date
Jul 3, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1707 MEADOWS LANE
State
Georgia
ZIP Code
30474
Phone
(912) 538-1500

Authorized Official

Name
DR. JOSEPH ALEXANDER RUTZ, JR., M.D.
Title
PRESIDENT
Phone
(912) 538-1500

Specialties & Taxonomy Codes

Specialty
Independent Medical Examiner

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