| NPI | 1578233524 |
|---|---|
| Doing Business As | VIDALIA METABOLIC & WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA KAYE HOLTON CEO 912-294-6712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2021-09-20 |