Individual
DR. HARRY DOUGLAS VILDIBILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 W 3RD AVE, SUITE 400, ALBANY, GA 31701-1941
(229) 883-6311
(229) 883-6315
Mailing address
425 W 3RD AVE, SUITE 400, ALBANY, GA 31701-1941
(229) 883-6311
(229) 883-6315
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
045654
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00792096A
—
GA
Enumeration date
12/29/2005
Last updated
02/19/2025
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