Organization
UNIVERSAL COMMUNITY HEALTH SYSTEM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERITA A A MCQUEEN (OWNER)
(404) 940-4611
Entity
Organization
Contact information
Practice address
706 ADAMS ST, VIDALIA, GA 30474-4917
(404) 940-4611
Mailing address
706 ADAMS ST, VIDALIA, GA 30474-4917
(404) 940-4611
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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