Wheeler County Family Medicine

NPI 1033314711 - Family Medicine - 207Q00000X

NPI Details
NPI 1033314711
Enumeration Date 06/20/2007
Last Updated 02/03/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ODELL P ODELL
Position MEDICAL DIRECTOR
Phone (912) 537-0616
Fax (912) 537-0617
Practice Location
104 MAPLE DR
VIDALIA GA, 30474-8949, US
Phone (912) 537-0616
Fax (912) 537-0617
Business Location
104 MAPLE DR
VIDALIA GA, 30474-8949, US
Phone (912) 537-0616
Fax (912) 537-0617
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 037085
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According to our database, Wheeler County Family Medicine NPI is 1033314711, taxonomy code is 207Q00000X and license number is 037085, license state is located at Georgia. Wheeler County Family Medicine physically located at 104 Maple Dr, Vidalia GA, 30474-8949. NPI Number 1033115704 has the healthcare provider type.

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1033314711 NPI number is provided on an as is basis without warranty of any kind. 1033314711 is maintained by the National Plan & Provider Enumeration System. The contents of Wheeler County Family Medicine are for informational purposes only.