Southeast Regional Kidney and Hypertension Specialists, Ll
Southeast Regional Kidney and Hypertension Specialists, Ll provides Nephrology Physician services in Vidalia, Georgia. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
1811 Manning DrVidalia, GA 30474-8921 Not confirmed with CMS for 12 years — call before visiting
Phone: (912) 535-2554
Fax: (912) 535-2558
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nephrology Physician (primary) | Taxonomy 207RN0300X |
|---|
Record details
| NPI number | 1104174655 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Southeast Regional Primary Care Corporatio |
| Authorized official | Tony Osteen — Cfo · (912) 538-5314 |
| NPI enumerated | August 15, 2012 |
| Last updated in NPPES | August 25, 2014 |
| Mailing address | Po Box 407, Vidalia, GA 30475-0407 |