Organization · Type 2 NPI
Southeast Regional Primary Care Corporation
Multi-Specialty Clinic/Center · Vidalia, GA
NPI number
1467568907
Active
Practice location
One Meadows Parkway
Vidalia, GA 30474-8921
Fax (912) 537-5366
Mailing address
PO Box 407
Vidalia, GA 30475-0407
Other practice locations
- 621 E 1st St Ste B, Vidalia, GA 30474-4264 · (912) 535-5555
- 1707 Meadows Ln Ste B, Vidalia, GA 30474-7201 · (912) 535-7100
- 1525 Fair Rd Ste 105A, Statesboro, GA 30458-6118 · (800) 207-0008
- 303 Harris Industrial Blvd Ste 5, Vidalia, GA 30474-8854 · (912) 535-7000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Radiology Clinic/Center | 261QR0200X | None listed |
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
3 other providers at this address
Other multi-specialty clinic/center providers in Vidalia
About NPI 1467568907
Southeast Regional Primary Care Corporation's National Provider Identifier is 1467568907, issued on Aug 21, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Vidalia, GA. The record was last updated on Mar 13, 2019.