SOUTHEAST GA PRIMARY PREVENT

Family Medicine

Active Organization
NPI: 1649470410

Practice Address

1811 EDWINA DR
Vidalia, GA 30474

Phone: (912) 537-9779

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 052930 (GA)

Frequently Asked Questions

NPI 1649470410 is the National Provider Identifier for SOUTHEAST GA PRIMARY PREVENT, a Family Medicine provider located in Vidalia, GA. This NPI was enumerated on July 20, 2007.

Quick Facts

NPI
1649470410
Type
Organization
Enumerated
Jul 20, 2007
Last Updated
May 8, 2008

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