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Vidalia Urology Associates, Llc
Specialist in Vidalia, Georgia
NPI 1124284088

Vidalia Urology Associates, Llc is a Specialist based in Vidalia, GA. Vidalia Urology Associates, Llc practices in Vidalia, GA. The NPI Number for Vidalia Urology Associates, Llc is 1124284088 and holds a License No. (Georgia).

The current practice location address for Vidalia Urology Associates, Llc is 1707 Meadows Ln Ste F, Vidalia, GA and can be reached out via phone at 912-537-9481.

Location: 1707 Meadows Ln Ste F, Vidalia, GA, 30475-0407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124284088
Provider Name
Vidalia Urology Associates, Llc
Credential
Provider Entity Type
Organization
Address
1707 Meadows Ln Ste F, Vidalia, GA, 30475-0407
Phone Number
912-537-9481
Fax Number
Provider Enumeration Date
07/31/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
511G700994 01 GA MEDICARE
institution
Provider Business Practice Location Address Details
Address
1707 Meadows Ln Ste F
City
Vidalia
State
Georgia
Zip
30474-7201
Phone Number
912-537-9481
Fax Number
person
Provider Business Mailing Address Details
Address
1707 Meadows Ln Ste F
City
Vidalia
State
Georgia
Zip
30474-7201
Phone Number
912-537-9481
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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