Organization
VIDALIA HEALTH SERVICES, LLC
Active
Parent organization
VIDALIA HEALTH SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIDALIA HEALTH SERVICES, LLC
Authorized official
JARED KIRBY (CFO)
(912) 535-8691
Entity
Organization
Contact information
Practice address
1707 MEADOWS LN STE B, VIDALIA, GA 30474-7201
(912) 535-5555
Mailing address
1707 MEADOWS LN STE B, VIDALIA, GA 30474-7201
(912) 535-5555
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
07/27/2022
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