Southeast Regional Primary Care Corporation

NPI #1053814434 in Vidalia, Georgia

Provider Information

NPI Number: 1053814434
Entity Type: Organization
Organization Name: Southeast Regional Primary Care Corporation
Primary Specialty: Urology
Enumeration Date: Mar 13, 2018
Last Updated: Mar 13, 2018

Practice Location

Address: 303 HARRIS INDUSTRIAL BLVD STE 5
City: Vidalia
State: Georgia
ZIP Code: 30474-8854
Phone: (912) 537-9481

Authorized Official

Name: TONY M O'STEEN
Title: CFO
Phone: (912) 535-5560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
Gilbert J. Gonzalez, M.D.	Urology	Vidalia	AI Deep Dive
DR. James S Goodlet JR., M.D.	Urology	Marietta	AI Deep Dive
MR. William Bird Jones, M.D.	Urology	Gainesville	AI Deep Dive
DR. Robert S Cowles III, M.D.	Urology	Greensboro	AI Deep Dive

Organizations

Provider Name	Specialty	City
Gilbert J. Gonzalez, M.d., LLC	Urology	Vidalia	AI Deep Dive

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