Southeastern Ent, P.C. in Enterprise - Specialist
Southeastern Ent, P.C. - NPI 1487708731
Southeastern Ent, P.C. is a Specialist in Enterprise, Alabama. Southeastern Ent, P.C. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Southeastern Ent, P.C. is 1487708731. The last update date is 2020-08-22.
Southeastern Ent, P.C.'s current location address is 107 E Watts St, Enterprise, Alabama. You can contact this provider via phone number 3343936837 and fax number 3343937011. The mailing address for Southeastern Ent, P.C. is 107 E Watts St, Enterprise, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeastern Ent, P.C. |
|---|---|
| Address | 107 E Watts St, Enterprise, Alabama |
| Phone Number | 3343936837 |
| Fax Number | 3343937011 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mcqueen Michael James |
| Credentials | M.D. |
| Telephone Number | 3343936837 |
NPI Number Detail
| NPI Number | 1487708731 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 107 E Watts St |
|---|---|
| City | Enterprise |
| State | Alabama (AL) |
| Post Code | 363302511 |
| Phone Number | 3343936837 |
| Fax Number | 3343937011 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 14766 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Southeastern Ent, P.C. by the Centers for Medicare & Medicaid Services?
The Southeastern Ent, P.C. has been assigned the NPI (National Provider Identifier) 1487708731 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Southeastern Ent, P.C.'s physical address?
The Southeastern Ent, P.C. is physically located at 107 E Watts St, in the city of Enterprise, AL, with the postal code 363302511.
What is the area of specialization for Southeastern Ent, P.C., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Southeastern Ent, P.C. is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Southeastern Ent, P.C. receive its 1487708731 assignment from the Centers for Medicare & Medicaid Services?
The Southeastern Ent, P.C. was assigned its 1487708731 by the Centers for Medicare & Medicaid Services on 2007-01-23.
When was the information pertaining to Southeastern Ent, P.C. most recently updated or revised?
The details related to Southeastern Ent, P.C., including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.