Pineland Mh/mr/sa Csb - Vidalia, GA

Pineland Mh/mr/sa Csb

Clinic/Center in Vidalia, Georgia

NPI 1760658587

Pineland Mh/mr/sa Csb is a Clinic/Center based in Statesboro, GA. Pineland Mh/mr/sa Csb practices in Vidalia, GA. The NPI Number for Pineland Mh/mr/sa Csb is 1760658587 and holds a License No. LPN068072 (Georgia).

The current practice location address for Pineland Mh/mr/sa Csb is 901 North St W, Vidalia, GA and can be reached out via phone at 912-537-9316 and via fax at 912-537-9915.

Location: 901 North St W, Vidalia, GA, 30458-5212

NPI Number

1760658587

Provider Name

Pineland Mh/mr/sa Csb

Credential

Provider Entity Type

Organization

Address

901 North St W, Vidalia, GA, 30458-5212

Phone Number

912-537-9316

Fax Number

912-537-9915

Provider Enumeration Date

05/01/2008

Last Update Date

03/09/2024

Address

901 North St W

City

Vidalia

State

Georgia

Zip

30474-3503

Phone Number

912-537-9316

Fax Number

912-537-9915

Address

901 North St W

City

Vidalia

State

Georgia

Zip

30474-3503

Phone Number

912-537-9316

Fax Number

912-537-9915

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Taxonomy

261Q00000X

License No.

LPN068072 (Georgia)

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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