Organization · Type 2 NPI

Southeast Regional Primary Care Corporation

Surgery Physician · Vidalia, GA

NPI number 1073015095 Active

Practice location

303 Harris Industrial Blvd
Vidalia, GA 30474-8853

Mailing address

PO Box 407
Vidalia, GA 30475-0407

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XNone listed
Surgery Physician Primary 208600000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

3 other providers at this address

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About NPI 1073015095

Southeast Regional Primary Care Corporation's National Provider Identifier is 1073015095, issued on Mar 6, 2018. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Vidalia, GA. The record was last updated on Mar 6, 2018.