SOUTHEAST REGIONAL KIDNEY AND HYPERTENSION SPECIALISTS, LL

VIDALIA, GA
NPI1104174655
Entity TypeOrganization
Authorized ContactTONY M OSTEEN
CFO
912-538-5314
Organization Subpart ?Yes
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
Enumeration Date2012-08-15
Last Update Date2014-08-25
Business Address
SOUTHEAST REGIONAL KIDNEY AND HYPERTENSION SPECIALISTS, LL
1811 MANNING DR
VIDALIA, GA 30474-8921
Phone number: 912-535-2554
Mailing Address
SOUTHEAST REGIONAL KIDNEY AND HYPERTENSION SPECIALISTS, LL
PO BOX 407
VIDALIA, GA 30475-0407
Phone number: 912-537-4986