Organization
PAUL JOSEPH GILES, M.D., LLC
Active
Parent organization
SOUTHEAST PRIMARY CARE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHEAST PRIMARY CARE CORPORATION
Authorized official
TONY M OSTEEN (CFO VP FINANCE)
(912) 537-8691
Entity
Organization
Contact information
Practice address
1006 MOUNT VERNON RD, VIDALIA, GA 30474-3029
(912) 537-1221
(912) 537-1012
Mailing address
1006 MOUNT VERNON RD, VIDALIA, GA 30474-3029
(912) 537-1221
(912) 537-1012
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
GA
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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