SOUTHEAST REGIONAL PRIMARY CARE CORPORATION

VIDALIA, GA
NPI1336642719
Entity TypeOrganization
Authorized ContactTONY M O'STEEN
CFO
912-535-5560
Organization Subpart ?No
Primary Taxonomy207RC0000X Internal Medicine Cardiovascular Disease
Enumeration Date2018-03-13
Last Update Date2018-03-13
Business Address
SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
101 HARRIS INDUSTRIAL BLVD STE A
VIDALIA, GA 30474-8852
Phone number: 912-535-3500
Mailing Address
SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
PO BOX 407
VIDALIA, GA 30475-0407
Phone number: 912-535-3500
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