SOUTHEAST REGIONAL PRIMARY CARE CORPORATION

VIDALIA, GA
NPI1225531197
Entity TypeOrganization
Authorized ContactTONY M O'STEEN
CFO
912-535-5560
Organization Subpart ?No
Primary Taxonomy207RP1001X Internal Medicine Pulmonary Disease
Enumeration Date2018-03-16
Last Update Date2018-03-16
Business Address
SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
1811 EDWINA DR
VIDALIA, GA 30474-8963
Phone number: 912-538-8105
Mailing Address
SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
PO BOX 407
VIDALIA, GA 30475-0407
Phone number: 912-538-8105
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