Vidalia Anesthesia Assoc PC

NPI #1912955725 in Vidalia, Georgia

Provider Information

NPI Number: 1912955725
Entity Type: Organization
Organization Name: Vidalia Anesthesia Assoc PC
Primary Specialty: Anesthesiology
Enumeration Date: May 4, 2006
Last Updated: Apr 9, 2010

Practice Location

Address: 1703 MEADOWS LANE
City: Vidalia
State: Georgia
ZIP Code: 30474
Phone: (912) 538-5359

Authorized Official

Name: JUNE H TOOTLE
Title: OFFICE MANAGER
Phone: (912) 538-5359

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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