Southeastern Intensivist Services Pc in West Memphis - Internal Medicine
Southeastern Intensivist Services Pc - NPI 1912942665
Southeastern Intensivist Services Pc is a Internal Medicine in West Memphis, Arkansas. Southeastern Intensivist Services Pc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Southeastern Intensivist Services Pc is 1912942665. The last update date is 2018-11-28.
Southeastern Intensivist Services Pc's current location address is 2100 N 7th St, West Memphis, Arkansas. You can contact this provider via phone number 8707333020. The mailing address for Southeastern Intensivist Services Pc is 2100 N 7th St, West Memphis, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeastern Intensivist Services Pc |
|---|---|
| Address | 2100 N 7th St, West Memphis, Arkansas |
| Phone Number | 8707333020 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Dabbs L Randal |
| Credentials | M.D. |
| Telephone Number | 8656931000 |
NPI Number Detail
| NPI Number | 1912942665 |
|---|---|
| Provider Enumeration Date | 2006-06-17 |
| Last Updated Date | 2018-11-28 |
Provider Mailing Address Detail
| Address | 2100 N 7th St |
|---|---|
| City | West Memphis |
| State | Arkansas (AR) |
| Post Code | 723012017 |
| Phone Number | 8707333020 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3733831 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Southeastern Intensivist Services Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Southeastern Intensivist Services Pc has been assigned the NPI (National Provider Identifier) 1912942665. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Southeastern Intensivist Services Pc?
The Southeastern Intensivist Services Pc is physically situated at 2100 N 7Th St, in the city of West Memphis, state of AR, with the postal code 723012017.
What is the Southeastern Intensivist Services Pc's specialty and taxonomy code?
The Southeastern Intensivist Services Pc's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
When did Southeastern Intensivist Services Pc receive its 1912942665 assignment?
The Southeastern Intensivist Services Pc was assigned its 1912942665 on 2006-06-17, which is the date when this unique identifier was issued to the organization.
When was the information related to Southeastern Intensivist Services Pc most recently updated or refreshed?
The details pertaining to the Southeastern Intensivist Services Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-11-28.