Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southeast Georgia Primary Care

Organization Family Medicine Physician · NPI 1053429688

Southeast Georgia Primary Care is a Family Medicine Physician in Waycross, Georgia. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

409 Uvalda St
Waycross, GA 31501-4574
Phone: (912) 283-1359
Fax: (912) 283-1362
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1053429688
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Prohaska — Doctor · (912) 283-1359
NPI enumeratedAugust 25, 2006
Last updated in NPPESAugust 22, 2020
Mailing address409 Uvalda St, Waycross, GA 31501-4574

Other providers in Waycross