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Southeast Regional Primary Care Corporation

Internal Medicine · Vidalia, GA

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At a glance

621 E 1St St Ste B, Vidalia, GA 30474-4264

NPPES record updated Dec 21, 2018. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

621 E 1St St Ste B
Vidalia, GA 30474-4264
Professional details: NPI, taxonomy & registry record
NPI1063914851
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Registry details

Primary taxonomy
Internal Medicine
Taxonomy code
207R00000X
Enumeration date
Mar 7, 2018
Record updated
Dec 21, 2018
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Internal Medicine

207R00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

621 E 1St St Ste B
Vidalia, GA 30474-4264
Phone
(912) 535-5120
Mailing address
PO BOX 407

VIDALIA, GA 304750407
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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