Organization
OB GYN SPECIALISTS OF VIDALIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INGRID BROWN MD (OWNER)
(912) 537-2798
Entity
Organization
Contact information
Practice address
1616 MEADOWS LN, VIDALIA, GA 30474-8914
(912) 537-2798
(912) 537-3651
Mailing address
PO BOX 1143, 1616 MEADOWS LANE, VIDALIA, GA 30475-1143
(912) 537-2798
(912) 537-3651
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
10/12/2005
Last updated
08/22/2020
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