Southeast Regional Primary Care Corporation

NPI #1790288181 in Vidalia, Georgia

Provider Information

NPI Number
1790288181
Entity Type
Organization
Organization Name
Southeast Regional Primary Care Corporation
Primary Specialty
General Acute Care Hospital
Enumeration Date
Mar 13, 2018
Last Updated
Mar 13, 2018

Practice Location

Address
1 MEADOWS PKWY
State
Georgia
ZIP Code
30474-8759
Phone
(912) 535-5555

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital

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