Organization
VIDALIA MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY T THOMPSON MBA (ADMINISTRATOR)
(912) 537-9851
Entity
Organization
Contact information
Practice address
200 MAPLE DR, VIDALIA, GA 30474-8907
(912) 537-9851
(912) 537-9843
Mailing address
PO BOX 1367, VIDALIA, GA 30475-1367
(912) 537-9851
(912) 537-9843
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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