| NPI | 1134367550 |
|---|---|
| Other Name | SOUTHEAST REGIONAL PRIMARY CARE CORP |
| Entity Type | Organization |
| Authorized Contact | TONY M OSTEEN CFO 912-538-5314 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2014-06-12 |