Organization
VIDALIA OB GYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ALEXANDER RUTZ, JR. M.D. (PRESIDENT)
(912) 538-1500
Entity
Organization
Contact information
Practice address
1707 MEADOWS LANE, VIDALIA, GA 30474
(912) 538-1500
(912) 538-1501
Mailing address
1707 MEADOWS LANE, VIDALIA, GA 30474
(912) 538-1500
(912) 538-1501
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
044832
GA
Other
Enumeration date
07/03/2007
Last updated
08/22/2020
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