Southeast Regional Primary Care Corporation
Southeast Regional Primary Care Corporation is an Urology Physician in Vidalia, Georgia. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
303 Harris Industrial Blvd Ste 5Vidalia, GA 30474-8854
Phone: (912) 537-9481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X |
|---|
Record details
| NPI number | 1053814434 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tony O'Steen — Cfo · (912) 535-5560 |
| Other names | Meadows Medical Group Urology |
| NPI enumerated | March 13, 2018 |
| Last updated in NPPES | March 13, 2018 |
| Mailing address | Po Box 407, Vidalia, GA 30475-0407 |
Other providers in Vidalia
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Gilbert J. Gonzalez, MD, LLC
303 Harris Industrial Blvd Ste 5, Vidalia, GA 30474 · (912) 537-9481
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Gilbert J. Gonzalez, MD
1707 Meadows Ln Ste F, Vidalia, GA 30474-7201 · (912) 537-9481