NPI age
13 years
Enumerated 2012-08-15
● Active Type 2 · Organization
Subpart
Southeast Regional Kidney And Hypertension Specialists, Ll
Southeast Regional Kidney And Hypertension Specialists, Ll is 1 of 562 internal medicine organizations in Georgia.
Primary specialty
Internal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Osteen
Cfo
Last NPPES update
2014-08-25
Source: monthly bulk 2026-05
How this organization compares
Across 562 active internal medicine providers in Georgia.
NPI age
13 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-08Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
1811 Manning Dr
Vidalia, GA 304748921
Mailing address
Po Box 407
Vidalia, GA 304750407
Authorized official
Tony M Osteen
Cfo
📞 9125385314
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Robert Clark, M.D.,F.A.C.S. Surgery NPI 1144289349
- Cynthia Holton, NP-C Nurse Practitioner NPI 1912252792
- Ravi Patel, MD General Practice NPI 1003909813
Specialties
-
Internal Medicine PrimaryAn internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
Subpart of Southeast Regional Primary Care Corporatio.
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