SOUTHEAST REGIONAL KIDNEY AND HYPERTENSION SPECIALISTS LL NPI 1104174655

NPI Information

SOUTHEAST REGIONAL KIDNEY AND HYPERTENSION SPECIALISTS, LL is a nephrology internal medicine in Vidalia, GA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. SOUTHEAST REGIONAL KIDNEY AND HYPERTENSION SPECIALISTS, LL NPI is 1104174655. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1811 MANNING DR
VIDALIA, GA
ZIP 30474-921
Phone: (912) 535-2554
Fax: (912) 535-2558

The provider's authorized official is Tony M Osteen .
The authorized official title is Cfo and has the following contact phone number (912) 538-5314.

The enumeration date for this NPI number is 8/15/2012 and was last updated on 8/25/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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