Southeast Regional Primary Care Corporation

NPI #1336642719 in Vidalia, Georgia

Provider Information

NPI Number
1336642719
Entity Type
Organization
Organization Name
Southeast Regional Primary Care Corporation
Primary Specialty
Internal Medicine - Cardiovascular Disease
Enumeration Date
Mar 13, 2018
Last Updated
Mar 13, 2018

Practice Location

Address
101 HARRIS INDUSTRIAL BLVD STE A
State
Georgia
ZIP Code
30474-8852
Phone
(912) 535-3500

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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