Southeast Regional Primary Care Corp | |
28 W Railroad Ave Alamo GA 30411-3513 | |
(912) 568-1407 | |
(912) 568-1579 |
Full Name | Southeast Regional Primary Care Corp |
---|---|
Speciality | Family Medicine |
Location | 28 W Railroad Ave, Alamo, Georgia |
Authorized Official Name and Position | Tony M Osteen (CFO) |
Authorized Official Contact | 9125385314 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southeast Regional Primary Care Corp Po Box 407 Vidalia GA 30475-0407 Ph: (912) 537-4986 | Southeast Regional Primary Care Corp 28 W Railroad Ave Alamo GA 30411-3513 Ph: (912) 568-1407 |
NPI Number | 1033425962 |
---|---|
Provider Enumeration Date | 08/30/2010 |
Last Update Date | 09/15/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033425962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Careconnect Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9 W Main Street, Alamo, GA 30411 Phone: 912-568-1438 Fax: 912-567-7313 | |
Alamo Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 W Railroad St, Alamo, GA 30411 Phone: 912-523-5113 |