NPI 1104174655

Southeast Regional Kidney and Hypertension Specialists, Ll

Organisation Nephrology Physician Vidalia, GA

Practice location

Address: 1811 Manning Dr, Vidalia, GA 30474-8921
Phone: (912) 535-2554
Fax: (912) 535-2558
Mailing address: PO Box 407, Vidalia, GA 30475-0407

Authorised official

Name: Tony M Osteen
Title: Cfo
Phone: (912) 538-5314

Registered specialties

Nephrology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RN0300X

Other Internal Medicine providers in Georgia →

Registry record

NPI: 1104174655
Entity type: Organization
NPI issued: 15 Aug 2012
Record last updated: 25 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.