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VIDALIA CHILDREN'S CENTER LLC
NPI 1679705115
Pediatrics in Vidalia, GA

Active since August 18, 2009
125 CHURCH STREET, VIDALIA, GA 30474(912) 538-8484(912) 538-8665 Get Directions Write a Review

NPPES record last updated: September 5, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Vidalia Children's Center Llc NPPES

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

VIDALIA CHILDREN'S CENTER LLC (NPI 1679705115) is a healthcare organization registered as a pediatrics in Vidalia, Georgia and active in the NPI registry since August 2009. The organization lists Tony M Osteen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1679705115
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameVIDALIA CHILDREN'S CENTER LLC
Location Address125 CHURCH STREETVidalia, GA 30474
Mailing AddressPo Box 407Vidalia, GA 30475-0407 · (912) 538-8484 · Fax (912) 538-8665
Phone(912) 538-8484
Fax(912) 538-8665
Organization SubpartYesParent: Southeadt Regional Primary Care Corporation
Authorized OfficialTony M OsteenCfo · (912) 538-5314
Enumeration DateAugust 18, 2009
Last NPPES UpdateSeptember 5, 2014
✔ NPI 1679705115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
125 CHURCH STREET, Vidalia, GA 30474
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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

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 Vidalia Children's Center LLC's NPI number?

The NPI number for Vidalia Children's Center LLC is 1679705115. It was assigned to this organization in the NPPES registry on August 18, 2009.

Where is Vidalia Children's Center LLC located?

Vidalia Children's Center LLC is located at 125 Church Street, Vidalia, GA 30474. The listed phone number is (912) 538-8484.

What is Vidalia Children's Center LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Vidalia Children's Center LLC was last updated on September 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.