| NPI | 1447739545 |
|---|---|
| Doing Business As | DOT VIDALIA FAMILY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JON LEIZMAN President 615-468-6270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2023-09-20 |