Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vidalia Neurology Associates, LLC

Organization Internal Medicine Physician · NPI 1316371792

Vidalia Neurology Associates, LLC is an Internal Medicine Physician in Vidalia, Georgia. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1707 Meadows Ln Ste A
Vidalia, GA 30474-7200
Phone: (912) 537-9779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1316371792
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSoutheast Primary Care Corporation
Authorized official Tony Osteen — Cfo · (912) 538-5314
NPI enumeratedAugust 21, 2013
Last updated in NPPESSeptember 5, 2014
Mailing addressPo Box 407, Vidalia, GA 30475-0407

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