Southeast Regional Primary Care Corporation

LBN: Southeast Regional Primary Care Corporation
Southeast Regional Primary Care Corporation is an health care organization with primary practice located at One Meadows Parkway , Vidalia GA 30474-8921. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Radiology, Ambulatory Health Care Facilities / Sleep Disorder Diagnostic. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Southeast Regional Primary Care Corporation can be contacted via phone (912) 535-3011, or through Osteen, Tony M via phone (912) 535-8691.

Contact Information

Primary practice address
One Meadows Parkway Vidalia GA 30474-8921
Phone: (912) 535-3011
Fax: (912) 537-5366
Website:
Map and Directions
Authorized official contact:
Name: Osteen, Tony M
Phone: (912) 535-8691

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Georgia
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Radiology 261QR0200X
Ambulatory Health Care Facilities / Sleep Disorder Diagnostic 261QS1200X

Profile Details

NPI number 1467568907
LBN Legal business name Southeast Regional Primary Care Corporation
DBA Doing business as
Authorized official Osteen, Tony M
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2006
Last updated Mar 13th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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