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VIDRO INDUSTRIES, LLC
NPI 1427355106
Family Medicine in Villa Rica, GA

Active since February 16, 2011
20 HERRELL RD, VILLA RICA, GA 30180(770) 456-4691 Get Directions Write a Review

NPPES record last updated: June 27, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vidro Industries, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIDRO INDUSTRIES, LLC (NPI 1427355106) is a healthcare organization registered as a family medicine in Villa Rica, Georgia and active in the NPI registry since February 2011. The organization lists Richard Glass, Ceo, as its authorized official.

NPPES Registry Identity

NPI1427355106
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVIDRO INDUSTRIES, LLC
Location Address20 HERRELL RDVilla Rica, GA 30180-5527
Mailing AddressPo Box 1149Villa Rica, GA 30180-6149 · (770) 456-4691
Phone(770) 456-4691
Organization SubpartNo
Authorized OfficialRichard GlassCeo · (770) 456-4691
Enumeration DateFebruary 16, 2011
Last NPPES UpdateJune 27, 2013
✔ NPI 1427355106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 062989
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

20 HERRELL RD, Villa Rica, GA 30180
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Other Identifiers 1

Medicaid344112558AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLYSON MOFFATT LPC
Counselor (Mental Health)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 812-3530
ANSON CHIN
Nurse Practitioner (Psychiatric/Mental Health)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 812-3283
UBI OKIM
Nurse Practitioner (Psychiatric/Mental Health)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 812-3530
THOMAS STUCKEY CRNP
Nurse Practitioner (Psychiatric/Mental Health)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 812-3294
NOVA MEDICAL SERVICES, LLC
Family Medicine
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 726-7460
ABIGAIL POST M.ED.
Counselor (Mental Health)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 812-3266
JOHN BRIAN GIBSON MA, LPC, CPCS
Counselor (Professional)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 456-3034
MS. STEPHANIE CHRISTINE SKY DNP-PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
20 HERRELL RD
VILLA RICA, GA 30180
Carroll County (770) 812-3530

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vidro Industries, LLC's NPI number?

The NPI number for Vidro Industries, LLC is 1427355106. It was assigned to this organization in the NPPES registry on February 16, 2011.

Where is Vidro Industries, LLC located?

Vidro Industries, LLC is located at 20 Herrell Rd, Villa Rica, GA 30180. The listed phone number is (770) 456-4691.

What is Vidro Industries, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Vidro Industries, LLC was last updated on June 27, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.