Southeast Regional Primary Care Corporation

NPI #1083117469 in Vidalia, Georgia

Provider Information

NPI Number: 1083117469
Entity Type: Organization
Organization Name: Southeast Regional Primary Care Corporation
Primary Specialty: Otolaryngology
Enumeration Date: Mar 13, 2018
Last Updated: Mar 13, 2018

Practice Location

Address: 1707 MEADOWS LN STE C
City: Vidalia
State: Georgia
ZIP Code: 30474-7201
Phone: (912) 537-3384

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology - Facial Plastic Surgery — Facial Plastic Surgery	207YS0123X
Otolaryngology	207Y00000X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
Robert Eugene Johnson, MD	Otolaryngology	Vidalia	AI Deep Dive
MR. Ronald W Williams JR., MD	Otolaryngology	Vidalia	AI Deep Dive
DR. Michael Frances Pratt, M.D.	Otolaryngology	Woodstock	AI Deep Dive

Organizations

Provider Name	Specialty	City
Tattnall Hospital Company, LLC	Otolaryngology	Vidalia	AI Deep Dive
Vidalia Ent Associates, LLC Part of Southeast Regional Primary Care Corporation	Otolaryngology	Vidalia	AI Deep Dive

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