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

Southeast Regional Primary Care Corporation

Organization Pediatrics Physician · NPI 1790288413

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

In the registry since
2018

Practice location Address checks out

125 Church St
Vidalia, GA 30474-4770
Phone: (912) 538-8484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1790288413
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tony O'Steen — Cfo · (912) 535-5560
Other names Meadows Medical Group Pediatrics
NPI enumeratedMarch 9, 2018
Last updated in NPPESMarch 9, 2018
Mailing addressPo Box 407, Vidalia, GA 30475-0407

Other providers in Vidalia