Organization
VIDALIA IMAGING ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA SPARKS (MANAGER)
(912) 355-8267
Entity
Organization
Contact information
Practice address
1703 MEADOWS LN, VIDALIA, GA 30474-8915
(912) 537-8921
Mailing address
PO BOX 13220, SAVANNAH, GA 31416-0220
(912) 355-8188
(912) 356-6970
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
07/10/2007
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