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Organization
SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
Active
Organization
SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
Active
Other names
Meadows Medical Group Lung and Sleep
Organization subpart
No
Provider details
NPI number
Authorized official
TONY M O'STEEN (CFO)
(912) 535-5560
Entity
Organization
Contact information
Practice address
1811 EDWINA DR, VIDALIA, GA 30474-8963
(912) 538-8105
Mailing address
PO BOX 407, VIDALIA, GA 30475-0407
(912) 538-8105
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
NULL
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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