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Vidalia Surgical Associates, Llc
Specialist in Vidalia, Georgia
NPI 1124216312

Vidalia Surgical Associates, Llc is a Specialist based in Vidalia, GA. Vidalia Surgical Associates, Llc practices in Vidalia, GA. The NPI Number for Vidalia Surgical Associates, Llc is 1124216312 and holds a License No. (Georgia).

The current practice location address for Vidalia Surgical Associates, Llc is 1811 Edwina Dr, Vidalia, GA and can be reached out via phone at 912-538-9977.

Location: 1811 Edwina Dr, Vidalia, GA, 30475-0407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124216312
Provider Name
Vidalia Surgical Associates, Llc
Credential
Provider Entity Type
Organization
Address
1811 Edwina Dr, Vidalia, GA, 30475-0407
Phone Number
912-538-9977
Fax Number
Provider Enumeration Date
10/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
192640864A 05 GA
institution
Provider Business Practice Location Address Details
Address
1811 Edwina Dr
City
Vidalia
State
Georgia
Zip
30474-8963
Phone Number
912-538-9977
Fax Number
person
Provider Business Mailing Address Details
Address
1811 Edwina Dr
City
Vidalia
State
Georgia
Zip
30474-8963
Phone Number
912-538-9977
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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