Southeast Regional Primary Care Corporation

Organization Active
NPI 1053814434
Urology Physician Vidalia, GA

Southeast Regional Primary Care Corporation holds NPI 1053814434, with a primary taxonomy of urology physician and a practice location in Vidalia, GA. The number was issued on March 13, 2018 and the NPPES record was last updated on March 13, 2018.

This record hasn't been updated in NPPES since 2018. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X Not listed

Practice location

303 Harris Industrial Blvd Ste 5
Vidalia, GA 30474-8854
Phone: (912) 537-9481

Local context

Active NPPES records list 3 providers with urology physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 575 in Georgia and 19,306 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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