Vidalia Medical Associates, PC

NPI #1740450097 in Vidalia, Georgia

Provider Information

NPI Number: 1740450097
Entity Type: Organization
Organization Name: Vidalia Medical Associates, PC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 3, 2008
Last Updated: Mar 3, 2008

Practice Location

Address: 200 MAPLE DR
City: Vidalia
State: Georgia
ZIP Code: 30474-8907
Phone: (912) 537-9851

Authorized Official

Name: MS. TAMMY T THOMPSON, MBA
Title: ADMINISTRATOR
Phone: (912) 537-9851

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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