Organization
VPC, INC.
Active
Other names
Vidalia Pediatric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CARSON HUGH SMITH (C.O.O./CO-OWNER)
(912) 537-9355
Entity
Organization
Contact information
Practice address
303 HARRIS INDUSTRIAL BLVD., STE 3, VIDALIA, GA 30474-8854
(912) 537-9355
(912) 373-8096
Mailing address
303 HARRIS INDUSTRIAL BLVD., STE 3, VIDALIA, GA 30474-8854
(912) 537-9355
(912) 373-8096
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
12/29/2006
Last updated
10/18/2024
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