SOUTHEAST REGIONAL PRIMARY CARE CORPORATION

VIDALIA, GA
NPI1063914851
Entity TypeOrganization
Authorized ContactTONY M O'STEEN
CFO
912-535-5560
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2018-03-07
Last Update Date2018-12-21
Business Address
SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
621 E 1ST ST STE B
VIDALIA, GA 30474-4264
Phone number: 912-535-5120
Mailing Address
SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
PO BOX 407
VIDALIA, GA 30475-0407
Phone number:
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