Southeastern Emergency Services P C in Athens - Medical
Southeastern Emergency Services P C - NPI 1669414264
Southeastern Emergency Services P C is a Medical in Athens, Tennessee. Southeastern Emergency Services P C practices all healthcare services and medical treatments related to Medical. The NPI Number for Southeastern Emergency Services P C is 1669414264. The last update date is 2020-09-14.
Southeastern Emergency Services P C's current location address is 1114 W Madison Ave, Athens, Tennessee. You can contact this provider via phone number 4237451411. The mailing address for Southeastern Emergency Services P C is 1114 W Madison Ave, Athens, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeastern Emergency Services P C |
|---|---|
| Address | 1114 W Madison Ave, Athens, Tennessee |
| Phone Number | 4237451411 |
| 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 | 1669414264 |
|---|---|
| Provider Enumeration Date | 2006-06-11 |
| Last Updated Date | 2020-09-14 |
Provider Mailing Address Detail
| Address | 1114 W Madison Ave |
|---|---|
| City | Athens |
| State | Tennessee (TN) |
| Post Code | 37371 |
| Phone Number | 4237451411 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2348298 | NC | -- | |
| 5515899 | MS | -- | |
| 507432003 | MO | -- | |
| GP4818 | SC | -- | |
| 2121280 | MS | -- | |
| 529929400 | AL | -- | |
| 78903671 | KY | -- | |
| 6310389 | MS | -- | |
| 7100010470 | KY | -- |
Post Comment/ Review Below
What is the Southeastern Emergency Services P C's unique identification number?
The Southeastern Emergency Services P C has been assigned the NPI (National Provider Identifier) Number 1669414264 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
What is the Southeastern Emergency Services P C's area of specialization and corresponding taxonomy classification?
The Southeastern Emergency Services P C's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
What is Southeastern Emergency Services P C's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Southeastern Emergency Services P C is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
On what date did the Southeastern Emergency Services P C receive its 1669414264 assignment from the Centers for Medicare & Medicaid Services?
The Southeastern Emergency Services P C was assigned its 1669414264 by the Centers for Medicare & Medicaid Services on 2006-06-11.
As of what date were the details related to Southeastern Emergency Services P C most recently updated or revised?
The information pertaining to Southeastern Emergency Services P C, including its address, specialty, and other relevant details, was last updated or revised on 2020-09-14.