Vidalia Women's Center, LLC

NPI #1952507592 in Vidalia, Georgia

Provider Information

NPI Number
1952507592
Entity Type
Organization
Organization Name
Vidalia Women's Center, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
Primary Specialty
Specialist
Enumeration Date
Jun 21, 2007
Last Updated
Aug 28, 2019

Practice Location

Address
101 HARRIS INDUSTRIAL BLVD.
Address 2
SUITE C
State
Georgia
ZIP Code
30474-8845
Phone
(912) 537-1014

Authorized Official

Name
TONY M OSTEEN
Title
CFO
Phone
(912) 538-5314

Specialties & Taxonomy Codes

Specialty
Specialist

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