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Contact Information

DAVID M VIDRINE, M.D.
80 LACY ST NW
MARIETTA, GA30060-1112
 Phone: 770-427-0368
 Fax: 678-581-5969
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for DAVID M VIDRINE · (Male)

NPI Number 1447293121
Status Active
Credentials M.D.
Entity Individual
Enumeration date 06/13/2006
Last updated 05/04/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • GA License # 109818
  • MA License # 226983
  • SC License # 30117
  • SC Medicaid 301177
  • SC Other DE5192 UNSPECIFIED
Hospital affiliation(s)
  • KERSHAW HEALTH - (Acute Care)
    HAILE AND ROBERTS STREETS, BOX 7003
    CAMDEN, SC 29020
  • PALMETTO HEALTH RICHLAND - (Acute Care)
    5 RICHLAND MEDICAL PARK
    COLUMBIA, SC 29203
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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