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Organization

CARDIOLOGY ASSOCIATES OF DUBLIN, 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 OSTEEN (CFO VP FINANCE)
(912) 538-5314
Entity
Organization

Contact information

Practice address
206 HOSPITAL DR STE A, DUBLIN, GA 31021-2560
(478) 272-3525
(478) 272-3589
Mailing address
PO BOX 407, VIDALIA, GA 30475-0407
(912) 537-4986
(912) 538-8166

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
028227
GA

Other

Enumeration date
12/29/2014
Last updated
12/29/2014
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