This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Doctors / GA
NURSE PRACTITIONER
Graduated: 2024
NPI: 1952137903
VIDALIA IMMEDIATE AND PRIMARY CARE LLC
122 ALICE COLEMAN DR
VIDALIA, GA 304748860
9128052273
Source: CMS National Downloadable File, September 2026.