Southeast Regional Primary Care Corporation
NPI #1790288413 in Vidalia, Georgia
Provider Information
- NPI Number
- 1790288413
- Entity Type
- Organization
- Organization Name
- Southeast Regional Primary Care Corporation
- Primary Specialty
- Pediatrics
- Enumeration Date
- Mar 9, 2018
- Last Updated
- Mar 9, 2018
Practice Location
Authorized Official
- Name
- TONY M O'STEEN
- Title
- CFO
- Phone
- (912) 535-5560
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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