Organization
SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
Active
Organization
SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
Active
Other names
Meadows Medical Group Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
TONY M O'STEEN (CFO)
(912) 535-5560
Entity
Organization
Contact information
Practice address
621 E 1ST ST STE B, VIDALIA, GA 30474-4264
(912) 535-5120
Mailing address
PO BOX 407, VIDALIA, GA 30475-0407
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/07/2018
Last updated
12/21/2018
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