Southeast Regional Primary Care Corporation

NPI #1750883435 in Dublin, Georgia

Provider Information

NPI Number
1750883435
Entity Type
Organization
Organization Name
Southeast Regional Primary Care Corporation
Primary Specialty
Internal Medicine - Gastroenterology
Enumeration Date
Mar 8, 2018
Last Updated
Mar 8, 2018

Practice Location

Address
104 FAIRVIEW PARK DR
City
Dublin
State
Georgia
ZIP Code
31021-2500
Phone
(478) 277-1255

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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