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

Southeast Regional Cardiac and Vascular Institute, LLC

Organization Interventional Cardiology Physician · NPI 1740503440

Southeast Regional Cardiac and Vascular Institute, LLC is an Interventional Cardiology Physician in Vidalia, Georgia. Works from 3 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 Harris Industrial Blvd Ste A
Vidalia, GA 30474-8852
Phone: (912) 535-3500
Fax: (912) 535-4498
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 195 E Tollison St Ste A-B, Baxley, GA 31513-0172 — (912) 535-3500
  • 11 Cross St, Hazlehurst, GA 31539-6427 — (912) 535-3500

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 65260 (GA)

Record details

NPI number1740503440
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSoutheast Regional Primary Care Corporation
Authorized official Tony Osteen — Cfo · (912) 537-5314
NPI enumeratedMarch 9, 2010
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020
Mailing addressPo Box 407, Vidalia, GA 30475-0407

Other providers in Vidalia