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Southeast Regional Primary Care Corporation
Facial Plastic Surgery Physician in Vidalia, Georgia
NPI 1083117469

Southeast Regional Primary Care Corporation is a Facial Plastic Surgery Physician based in Vidalia, GA and is specialized in Facial Plastic Surgery. Southeast Regional Primary Care Corporation practices in Vidalia, GA. The NPI Number for Southeast Regional Primary Care Corporation is 1083117469 and holds a License No. (Georgia).

The current practice location address for Southeast Regional Primary Care Corporation is 1707 Meadows Ln Ste C, Vidalia, GA and can be reached out via phone at 912-537-3384.

Location: 1707 Meadows Ln Ste C, Vidalia, GA, 30475-0407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083117469
Provider Name
Southeast Regional Primary Care Corporation
Credential
Provider Entity Type
Organization
Address
1707 Meadows Ln Ste C, Vidalia, GA, 30475-0407
Phone Number
912-537-3384
Fax Number
Provider Enumeration Date
03/13/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1707 Meadows Ln Ste C
City
Vidalia
State
Georgia
Zip
30474-7201
Phone Number
912-537-3384
Fax Number
person
Provider Business Mailing Address Details
Address
1707 Meadows Ln Ste C
City
Vidalia
State
Georgia
Zip
30474-7201
Phone Number
912-537-3384
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
()
Definition
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 injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
207YS0123X
License No.
()
Definition
An otolaryngologist who specializes in facial plastic surgery.
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