Organization
ACCORDIA HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WELCH (OWNER)
(912) 245-0379
Entity
Organization
Contact information
Practice address
3193 E 1ST ST, VIDALIA, GA 30474-8830
(912) 537-8588
Mailing address
125 CHURCH ST, STE 200, VIDALIA, GA 30474-4770
(912) 245-0379
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
68199
GA
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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