Organization
MEADOWS ANESTHESIA LLC
Active
Parent organization
SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
Authorized official
TONY M O'STEEN (CFO VP FINANCE)
(912) 538-5314
Entity
Organization
Contact information
Practice address
1 MEADOWS PKWY, VIDALIA, GA 30474-8759
(912) 538-5359
(912) 538-5228
Mailing address
PO BOX 1303, VIDALIA, GA 30475-1303
(912) 538-5359
(912) 538-5228
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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