Organization
VIDALIA EYE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES YOUNG JONES M.D. (PRESIDENT)
(912) 537-1991
Entity
Organization
Contact information
Practice address
700 MAPLE DR, VIDALIA, GA 30474-7207
(912) 537-1991
(912) 537-1702
Mailing address
700 MAPLE DR, VIDALIA, GA 30474-7207
(912) 537-1991
(912) 537-1702
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055000477A
—
GA
Enumeration date
07/22/2006
Last updated
07/13/2012
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