Ara-Vidalia Clinic LLC

NPI #1871537654 in Vidalia, Georgia

Provider Information

NPI Number
1871537654
Entity Type
Organization
Organization Name
Ara-Vidalia Clinic LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Jun 15, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
906 E 1ST ST
State
Georgia
ZIP Code
30474-4207
Phone
(912) 538-8908

Authorized Official

Name
MR. CHRISTOPHER T FORD
Title
PRESIDENT/CEO
Phone
(978) 922-3080

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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