Vidalia Surgical Associates, Llc

NPI 1124216312 - Specialist - 174400000X

NPI Details
NPI 1124216312
Enumeration Date 10/12/2007
Last Updated 06/16/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TONY M TONY
Position CFO
Phone (912) 538-9977
Fax (912) 538-0770
Practice Location
303 HARRIS INDUSTRIAL BLVD
SUITE 3
VIDALIA GA, 30474-8850, US
Phone (912) 538-9977
Fax (912) 538-0770
Business Location
PO BOX 407
VIDALIA GA, 30475-0407, US
Phone (912) 538-9977
Fax (912) 538-0770
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Vidalia Surgical Associates, Llc NPI is 1124216312, taxonomy code is 174400000X Vidalia Surgical Associates, Llc physically located at 303 Harris Industrial Blvd, Vidalia GA, 30474-8850. NPI Number 1033115704 has the healthcare provider type.

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1124216312 NPI number is provided on an as is basis without warranty of any kind. 1124216312 is maintained by the National Plan & Provider Enumeration System. The contents of Vidalia Surgical Associates, Llc are for informational purposes only.