# SOUTHERN CHIRO VIDALIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598612228
- **Authorized official:** HORANNE CRUE DC (OWNER/CHIROPRACTOR)
- **Authorized official phone:** (912) 243-9200

## Contact information

- **Practice address:** 414 LUGENIA DR., VIDALIA, GA 30474
- **Practice address phone:** (912) 685-9200
- **Practice address fax:** (912) 243-9207
- **Mailing address:** 116 SAVANNAH AVE, STATESBORO, GA 30458-4801
- **Mailing address phone:** (912) 243-9200
- **Mailing address fax:** (912) 243-9207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 03/12/2026
- **Last updated:** 03/12/2026