Vidalia Anesthesia Assoc Pc

LBN: Vidalia Anesthesia Assoc Pc
Vidalia Anesthesia Assoc Pc is an health care organization with primary practice located at 1703 Meadows Lane , Vidalia GA 30474. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Vidalia Anesthesia Assoc Pc can be contacted via phone (912) 538-5359, or through Tootle, June H via phone (912) 538-5359.

Contact Information

Primary practice address
1703 Meadows Lane Vidalia GA 30474
Phone: (912) 538-5359
Fax: (912) 538-5228
Website:
Map and Directions
Authorized official contact:
Name: Tootle, June H
Phone: (912) 538-5359

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1912955725
LBN Legal business name Vidalia Anesthesia Assoc Pc
DBA Doing business as
Authorized official Tootle, June H
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2006
Last updated Apr 9th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912955725 NPPES
Georgia MEDICAID 300033365A
Georgia Other CE7445

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