Organization · Type 2 NPI

Southeast Regional Primary Care Corporation

Otolaryngology Physician · Vidalia, GA

NPI number 1083117469 Active

Practice location

1707 Meadows Ln Ste C
Vidalia, GA 30474-7201

Mailing address

PO Box 407
Vidalia, GA 30475-0407

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000XNone listed
Facial Plastic Surgery Physician 207YS0123XNone listed

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1083117469

Southeast Regional Primary Care Corporation's National Provider Identifier is 1083117469, issued on Mar 13, 2018. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Vidalia, GA. The record was last updated on Mar 13, 2018.