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Organization

VIDALIA FAMILY HEALTH CLINIC LLC

Active
Other names
Southeast Regional Primay Care Corp
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS FERRARI M.D. (PHYSICIAN)
(912) 537-7476
Entity
Organization

Contact information

Practice address
1811 MANNING DR, VIDALIA, GA 30474-8921
(912) 537-7674
(912) 538-8443
Mailing address
1811 MANNING DR, VIDALIA, GA 30474-8921
(912) 537-7674
(912) 538-8443

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
GA034829
GA

Other

Enumeration date
03/27/2009
Last updated
03/27/2009
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