Meadows Regional Medical Center

Organization Active NPI Athletic Trainer · Vidalia, GA

NPI 1184697245 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1184697245
Entity type
Organization (NPI type 2)
Primary specialty
Athletic Trainer 2255A2300X
License
AT000250 (GA)
Legal business name
MEADOWS REGIONAL MEDICAL CENTER
Practice address
101 Harris Industrial Blvd
Vidalia, GA 30474-8845
Phone
(912) 277-2035
Fax
(912) 277-2098
NPI assigned
Feb 9, 2006
Organization subpart
No

Authorized official

Name
Nancy W Stanley
Title
Director of Rehab
Phone
(912) 277-2034

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Meadows Dia Ctr of Savan (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer
Group: 193200000X MULTI-SPECIALTY GROUP
2255A2300X AT000250 GA Yes

Addresses

Primary practice location

101 Harris Industrial Blvd
Vidalia, GA 30474-8845

Mailing address

724 Chesley Dr
Vidalia, GA 30474-5516
Phone (912) 537-1590

Other providers in Vidalia, GA

All providers in Vidalia, GA · Athletic Trainer in Georgia

Sources for this page

Verify at the official NPI Registry.