| Tattnall Hospital Company, Llc | |
|
1811 Edwina Drive Vidalia GA 30474 | |
| (912) 537-9779 | |
| (912) 537-2124 |
| Full Name | Tattnall Hospital Company, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1811 Edwina Drive, Vidalia, Georgia |
| Authorized Official Name and Position | Michael W. Kleinpeter (CEO) |
| Authorized Official Contact | 9126445300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tattnall Hospital Company, Llc 210 E. Derenne Ave Savannah GA 61405-6736 Ph: (912) 644-5300 | Tattnall Hospital Company, Llc 1811 Edwina Drive Vidalia GA 30474 Ph: (912) 537-9779 |
| NPI Number | 1154614360 |
|---|---|
| Provider Enumeration Date | 05/20/2011 |
| Last Update Date | 01/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154614360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Misty D. Poole, Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 Mose Coleman Dr, Vidalia, GA 30474 Phone: 912-537-2200 Fax: 912-537-2260 | |
Wheeler County Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Maple Dr, Vidalia, GA 30474 Phone: 912-537-0616 Fax: 912-537-0617 | |
Southeast Regional Primary Care Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 E 1st St Ste B, Vidalia, GA 30474 Phone: 912-535-5120 | |
Vidalia Family Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1702 Meadows Ln, Vidalia, GA 30474 Phone: 912-805-2198 Fax: 912-805-2997 | |
Wiggins Family Practice Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Arlington Dr, Vidalia, GA 30474 Phone: 912-537-2530 Fax: 912-537-2540 | |
Vidalia Neurology Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1707 Meadows Lane, Suite A, Vidalia, GA 30474 Phone: 912-537-9779 |