VIDALIA IMMEDIATE & PRIMARY CARE LLC is a primary care clinic center in Vidalia, GA. VIDALIA IMMEDIATE & PRIMARY CARE LLC NPI is 1942974167. The provider is registered as an organization entity type.
The provider's business location address is:
122 ALICE COLEMAN DRIVE
VIDALIA, GA
ZIP 30474
Phone: (912) 805-2273
The provider's authorized official is Melissa Ann Beckum .
The authorized official title is Practice Manager/office Manager and has the following contact phone number (912) 293-2869.
The CLIA number assigned to this NPI record is 11D2259716 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/2/2021 and was last updated on 11/16/2021.