Southeast Surgical, Pllc in Pulaski - Surgery
Southeast Surgical, Pllc - NPI 1275591851
Southeast Surgical, Pllc is a Surgery in Pulaski, Tennessee. Southeast Surgical, Pllc practices all healthcare services and medical treatments related to Surgery. The NPI Number for Southeast Surgical, Pllc is 1275591851. The last update date is 2008-08-01.
Southeast Surgical, Pllc's current location address is 1265 E College St, Pulaski, Tennessee. You can contact this provider via phone number 9314249069 and fax number 9314249079. The mailing address for Southeast Surgical, Pllc is 1265 E College St, Pulaski, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeast Surgical, Pllc |
|---|---|
| Address | 1265 E College St, Pulaski, Tennessee |
| Phone Number | 9314249069 |
| Fax Number | 9314249079 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MD/PRESIDE |
|---|---|
| Authorized Official Name | Lucas Jefferson Todd |
| Credentials | MD |
| Telephone Number | 9314249069 |
NPI Number Detail
| NPI Number | 1275591851 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2008-08-01 |
Provider Mailing Address Detail
| Address | 1265 E College St |
|---|---|
| City | Pulaski |
| State | Tennessee (TN) |
| Post Code | 384784541 |
| Phone Number | 9314249069 |
| Fax Number | 9314249079 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 39634 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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What is the unique 10-digit identifier code issued to Southeast Surgical, Pllc by the Centers for Medicare & Medicaid Services?
The Southeast Surgical, Pllc has been assigned the NPI (National Provider Identifier) 1275591851 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Southeast Surgical, Pllc?
The Southeast Surgical, Pllc is situated at 1265 E College St, in the city of Pulaski, state of TN, with the zip code 384784541.
What is Southeast Surgical, Pllc's area of expertise and its corresponding taxonomy classification?
The Southeast Surgical, Pllc's field of specialization is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1275591851 assigned to Southeast Surgical, Pllc?
The Southeast Surgical, Pllc was issued its 1275591851 on 2006-05-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Southeast Surgical, Pllc most recently updated or revised?
The details related to Southeast Surgical, Pllc, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-01.