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

Southeast Regional Primary Care Corporation

Organization Cardiovascular Disease Physician · NPI 1336642719

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

In the registry since
2018

Practice location Address checks out

101 Harris Industrial Blvd Ste A
Vidalia, GA 30474-8852
Phone: (912) 535-3500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1336642719
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tony O'Steen — Cfo · (912) 535-5560
Other names Meadows Medical Group Cardiology
NPI enumeratedMarch 13, 2018
Last updated in NPPESMarch 13, 2018
Mailing addressPo Box 407, Vidalia, GA 30475-0407

Other providers in Vidalia