Organization
MEADOWS REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY W STANLEY (DIRECTOR OF REHAB)
(912) 277-2034
Entity
Organization
Contact information
Practice address
101 HARRIS INDUSTRIAL BLVD, VIDALIA, GA 30474-8845
(912) 277-2035
(912) 277-2098
Mailing address
724 CHESLEY DR, VIDALIA, GA 30474-5516
(912) 537-1590
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000250
GA
Other
Enumeration date
02/09/2006
Last updated
08/22/2020
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