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SOUTHEAST REGIONAL PRIMARY CARE CORPORATION NPI 1225531197


NPI Information

NPI: 1225531197
Provider Name: SOUTHEAST REGIONAL PRIMARY CARE CORPORATION

Doing Business As: MEADOWS MEDICAL GROUP LUNG AND SLEEP

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
1811 EDWINA DR
VIDALIA, GA
ZIP 30474
Phone: (912) 538-8105
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SOUTHEAST REGIONAL PRIMARY CARE CORPORATION is a pulmonary disease internal medicine in Vidalia, GA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. SOUTHEAST REGIONAL PRIMARY CARE CORPORATION NPI is 1225531197. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Meadows Medical Group Lung And Sleep.

The provider's business location address is:

1811 EDWINA DR
VIDALIA, GA
ZIP 30474-963
Phone: (912) 538-8105

The provider's authorized official is Tony M O'steen .
The authorized official title is Cfo and has the following contact phone number (912) 535-5560.

The enumeration date for this NPI number is 3/16/2018 and was last updated on 3/16/2018.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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