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MEADOWS MEDICAL GROUP ENT
NPI 1083117469
Otolaryngology in Vidalia, GA

Active since March 13, 2018
1707 MEADOWS LN STE C, VIDALIA, GA 30474(912) 537-3384 Get Directions Write a Review

NPPES record last updated: March 13, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Meadows Medical Group Ent NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEADOWS MEDICAL GROUP ENT (NPI 1083117469) is a healthcare organization registered as an otolaryngology in Vidalia, Georgia and active in the NPI registry since March 2018. The organization lists Tony M O'steen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1083117469
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameSOUTHEAST REGIONAL PRIMARY CARE CORPORATION
Location Address1707 MEADOWS LN STE CVidalia, GA 30474-7201
Mailing AddressPo Box 407Vidalia, GA 30475-0407 · (912) 537-3384
Phone(912) 537-3384
Organization SubpartNo
Authorized OfficialTony M O'steenCfo · (912) 535-5560
Enumeration DateMarch 13, 2018
✔ NPI 1083117469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X
1707 MEADOWS LN STE C, Vidalia, GA 30474
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Other Names 1

Doing Business AsMeadows Medical Group Ent

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Regional Primary Care Corporation's NPI number?

The NPI number for Southeast Regional Primary Care Corporation is 1083117469. It was assigned to this organization in the NPPES registry on March 13, 2018. The provider is doing business as Meadows Medical Group Ent.

Where is Southeast Regional Primary Care Corporation located?

Southeast Regional Primary Care Corporation is located at 1707 Meadows Ln Ste C, Vidalia, GA 30474. The listed phone number is (912) 537-3384.

What is Southeast Regional Primary Care Corporation's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Southeast Regional Primary Care Corporation was last updated on March 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.