Southern Medical Associates, LLC

NPI #1356764450 in Glennville, Georgia

Provider Information

NPI Number
1356764450
Entity Type
Organization
Organization Name
Southern Medical Associates, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
Primary Specialty
Family Medicine
Enumeration Date
Jan 24, 2014
Last Updated
Sep 4, 2014

Practice Location

Address
601 S VETERANS BLVD
State
Georgia
ZIP Code
30427-1775
Phone
(912) 654-0475

Authorized Official

Name
TONY M OSTEEN
Title
CFO VP FINANCE
Phone
(912) 538-5314

Specialties & Taxonomy Codes

Specialty
Family Medicine

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