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Organization
VIDALIA MEDICAL PARTNERS INC.
Active
Organization
VIDALIA MEDICAL PARTNERS INC.
Active
Other names
1st Choice Family Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RILEY EUGENE MCDONALD (PRESIDENT)
(912) 537-0622
Entity
Organization
Contact information
Practice address
801 MCNATT STREET, VIDALIA, GA 30474
(912) 537-0622
(912) 537-0641
Mailing address
801 MCNATT STREET, VIDALIA, GA 30474-8963
(912) 537-0890
(912) 537-0891
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
138-R-0516
GA
Other
Enumeration date
11/20/2008
Last updated
01/13/2009
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