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VIDALIA OB GYN NPI 1437356359


NPI Information

NPI: 1437356359
Provider Name: VIDALIA OB GYN
Classification: Independent Medical Examiner - 202C00000X
Entity Type: Organization
Address:
1707 MEADOWS LANE
VIDALIA, GA
ZIP 30474
Phone: (912) 538-1500
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VIDALIA OB GYN is an independent medical examiner in Vidalia, GA. The provider is a special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. VIDALIA OB GYN NPI is 1437356359. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1707 MEADOWS LANE
VIDALIA, GA
ZIP 30474
Phone: (912) 538-1500
Fax: (912) 538-1501

The provider's authorized official is Joseph Alexander Rutz, Jr. .
The authorized official title is President and has the following contact phone number (912) 538-1500.

The enumeration date for this NPI number is 7/3/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1202C00000XIndependent Medical Examiner044832GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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