SOUTHEAST REGIONAL PRIMARY CARE CORPORATION NPI 1336642719

NPI Information

SOUTHEAST REGIONAL PRIMARY CARE CORPORATION is a cardiovascular disease internal medicine in Vidalia, GA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. SOUTHEAST REGIONAL PRIMARY CARE CORPORATION NPI is 1336642719. 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 Cardiology.

The provider's business location address is:

101 HARRIS INDUSTRIAL BLVD STE A
VIDALIA, GA
ZIP 30474-852
Phone: (912) 535-3500

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 3/13/2018 and was last updated on 3/13/2018.

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:

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