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

Vidalia Urology Associates, LLC

Organization Specialist · NPI 1124284088

Vidalia Urology Associates, LLC is a Specialist in Vidalia, Georgia. Registered with an NPI since 2008.

In the registry since
2008
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 F
Vidalia, GA 30474-7201
Phone: (912) 537-9481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1124284088
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSoutheast Regional Primary Care Corporation
Authorized official Tony Osteen — Cfo · (912) 538-5314
NPI enumeratedJuly 31, 2008
Last updated in NPPESJuly 10, 2020
Certification dateJuly 10, 2020
Mailing addressPo Box 407, Vidalia, GA 30475-0407

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