# MERCY MEDICAL CLINIC

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

## Provider details

- **NPI number:** 1609138692
- **Authorized official:** DR. NANCY STANLEY DPT (COMMUNITY WELLNESS DEPARTMENT DIREC)
- **Authorized official phone:** (912) 538-0523

## Contact information

- **Practice address:** 300 ARLINGTON DR, VIDALIA, GA 30474-8935
- **Practice address phone:** (912) 538-0523
- **Practice address fax:** (912) 538-8945
- **Mailing address:** 300 ARLINGTON DR, VIDALIA, GA 30474-8935
- **Mailing address phone:** (912) 538-0523
- **Mailing address fax:** (912) 538-8945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | RN060662 | GA | Yes |

## Other

- **Enumeration date:** 06/14/2012
- **Last updated:** 06/14/2012