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

Southeast Regional Primary Care Corporation

Organization Otolaryngology Physician · NPI 1083117469

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

In the registry since
2018
Specialties on file
2

Practice location Address checks out

1707 Meadows Ln Ste C
Vidalia, GA 30474-7201
Phone: (912) 537-3384
Show map & directions

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

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X
Facial Plastic Surgery Physician Taxonomy 207YS0123X

Record details

NPI number1083117469
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tony O'Steen — Cfo · (912) 535-5560
Other names Meadows Medical Group Ent
NPI enumeratedMarch 13, 2018
Last updated in NPPESMarch 13, 2018
Mailing addressPo Box 407, Vidalia, GA 30475-0407

Other providers in Vidalia