Organization
VIDALIA MEDICAL PARTNERS INC.
Active
Other names
1st Choice Family Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RILEY EUGENE MCDONALD (PRESIDENT)
(912) 537-0622
Entity
Organization
Contact information
Practice address
801 MCNATT STREET, VIDALIA, GA 30474
(912) 537-0622
(912) 537-0641
Mailing address
801 MCNATT STREET, VIDALIA, GA 30474-8963
(912) 537-0890
(912) 537-0891
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
138-R-0516
GA
Other
Enumeration date
11/20/2008
Last updated
01/13/2009
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