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Ara-vidalia Clinic Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Vidalia, Georgia
NPI 1871537654

Ara-vidalia Clinic Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Beverly, GA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Ara-vidalia Clinic Llc practices in Vidalia, GA. The NPI Number for Ara-vidalia Clinic Llc is 1871537654 and holds a License No. (Georgia).

The current practice location address for Ara-vidalia Clinic Llc is 906 E 1St St, Vidalia, GA and can be reached out via phone at 912-538-8908 and via fax at 912-538-8909.

Location: 906 E 1St St, Vidalia, GA, 01915-1054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871537654
Provider Name
Ara-vidalia Clinic Llc
Credential
Provider Entity Type
Organization
Address
906 E 1St St, Vidalia, GA, 01915-1054
Phone Number
912-538-8908
Fax Number
912-538-8909
Provider Enumeration Date
06/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00972529C 05 GA
institution
Provider Business Practice Location Address Details
Address
906 E 1St St
City
Vidalia
State
Georgia
Zip
30474-4207
Phone Number
912-538-8908
Fax Number
912-538-8909
person
Provider Business Mailing Address Details
Address
906 E 1St St
City
Vidalia
State
Georgia
Zip
30474-4207
Phone Number
912-538-8908
Fax Number
912-538-8909
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
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Definition
Definition to come...
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