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VIDALIA RADIOLOGY ASSOCIATES NPI 1659353936


NPI Information

NPI: 1659353936
Provider Name: VIDALIA RADIOLOGY ASSOCIATES
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1703 MEADOWS LN
VIDALIA, GA
ZIP 30474
Phone: (800) 382-4023
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VIDALIA RADIOLOGY ASSOCIATES is a diagnostic radiology radiology in Vidalia, GA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. VIDALIA RADIOLOGY ASSOCIATES NPI is 1659353936. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1703 MEADOWS LN
VIDALIA, GA
ZIP 30474-915
Phone: (800) 382-4023

The provider's authorized official is Tosaporn Krasaeath .
The authorized official title is President and has the following contact phone number (800) 382-4023.

The enumeration date for this NPI number is 11/14/2005 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyGEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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