OrganizationActive
R T Stanley Health Center LLC
NPI 1790778736 · Rural Health Clinic/Center · Lyons, GA
Provider details
- NPI number
- 1790778736
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Southeast Regional Primary Care Corp
- Organization subpart
- Yes
- Authorized official
- Tony Osteen, Cfo(912) 535-8691
- License
- 138-476 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
110 Rt Stanley Sr Pl
Lyons, GA 30436-5623
Phone: (912) 526-9355
Fax: (912) 526-8622
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 407
Vidalia, GA 30475-0407
Other names (DBA / former)
- Doing business as
- R T Stanley Health Center LLC
- Doing business as
- R T Stanley Health Center LLC
Registry dates
- Enumerated
- 2005-08-24
- Last updated
- 2019-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.