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Organization

MEADOWS REGIONAL MEDICAL CENTER, INC.

Active
Parent organization
MEADOWS REGIONAL MEDICAL CENTER
Other names
Meadows Imaging Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEADOWS REGIONAL MEDICAL CENTER
Authorized official
TONY M O'STEEN (CFO)
(912) 535-8691
Entity
Organization

Contact information

Practice address
1707 MEADOWS LN STE B, VIDALIA, GA 30474-7201
(912) 535-7100
(912) 535-7120
Mailing address
PO BOX 407, VIDALIA, GA 30475-0407
(912) 535-5581

Taxonomy

Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000001086A
GA
Enumeration date
12/23/2019
Last updated
12/23/2019
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