Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southeast Regional Primary Care Corporation

Organization Pulmonary Disease Physician · NPI 1225531197

Southeast Regional Primary Care Corporation provides Pulmonary Disease Physician services in Vidalia, Georgia. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1811 Edwina Dr
Vidalia, GA 30474-8963
Phone: (912) 538-8105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X

Record details

NPI number1225531197
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tony O'Steen — Cfo · (912) 535-5560
Other names Meadows Medical Group Lung And Sleep
NPI enumeratedMarch 16, 2018
Last updated in NPPESMarch 16, 2018
Mailing addressPo Box 407, Vidalia, GA 30475-0407

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