VIDALIA PULMONOLOGY CENTER, LLC

VIDALIA, GA
NPI1194985093
Entity TypeOrganization
Authorized ContactTONY M O'STEEN
CFO
912-538-5314
Organization Subpart ?Yes
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
Additional Taxonomies207RC0200X Internal Medicine, Critical Care Medicine
207RS0012X Internal Medicine, Sleep Medicine
Enumeration Date2008-06-13
Last Update Date2014-05-29
Business Address
VIDALIA PULMONOLOGY CENTER, LLC
1811 EDWINA DR
VIDALIA, GA 30474-8963
Phone number: 912-538-8105
Mailing Address
VIDALIA PULMONOLOGY CENTER, LLC
PO BOX 407
VIDALIA, GA 30475-0407
Phone number: 912-538-8105