Organization
DIM PHYSICIANS LLC
Active
Organization
DIM PHYSICIANS LLC
Active
Parent organization
SOUTHEAST REGIONAL. PRIMARY CARE CORP
Other names
DUBLIN INTERNAL MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHEAST REGIONAL. PRIMARY CARE CORP
Authorized official
MR. TONY MARCUS O'STEEN CPA (CFO - SRPCC)
(912) 538-5314
Entity
Organization
Contact information
Practice address
104 FAIRVIEW PARK DR, DUBLIN, GA 31021-2500
(478) 272-1366
(478) 272-2240
Mailing address
PO BOX 407, VIDALIA, GA 30475-0407
(912) 537-4986
(912) 538-8166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/07/2012
Last updated
04/15/2015
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