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

Southeast Regional Primary Care Corporation

Organization Internal Medicine Physician · NPI 1063914851

Southeast Regional Primary Care Corporation is an Internal Medicine Physician in Vidalia, Georgia. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

621 E 1st St Ste B
Vidalia, GA 30474-4264
Phone: (912) 535-5120
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1063914851
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tony O'Steen — Cfo · (912) 535-5560
Other names Meadows Medical Group Internal Medicine
NPI enumeratedMarch 7, 2018
Last updated in NPPESDecember 21, 2018
Mailing addressPo Box 407, Vidalia, GA 30475-0407

Other providers in Vidalia