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Organization
SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
Active
Organization
SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
Active
Other names
Meadows Medical Group Womens Center
Organization subpart
No
Provider details
NPI number
Authorized official
TONY M O'STEEN (CFO)
(912) 535-5560
Entity
Organization
Contact information
Practice address
101 HARRIS INDUSTRIAL BLVD STE C, VIDALIA, GA 30474-8852
(912) 537-1014
Mailing address
PO BOX 407, VIDALIA, GA 30475-0407
(912) 537-1014
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
03/09/2018
Last updated
09/05/2019
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