Southeastern Physician Services Pc in Cincinnati - Medical
Southeastern Physician Services Pc - NPI 1083835441
Southeastern Physician Services Pc is a Medical in Cincinnati, Ohio. Southeastern Physician Services Pc practices all healthcare services and medical treatments related to Medical. The NPI Number for Southeastern Physician Services Pc is 1083835441. The last update date is 2020-01-31.
Southeastern Physician Services Pc's current location address is Po Box 635705, Cincinnati, Ohio. You can contact this provider via phone number 8882031274. The mailing address for Southeastern Physician Services Pc is Po Box 635705, Cincinnati, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeastern Physician Services Pc |
|---|---|
| Address | Po Box 635705, Cincinnati, Ohio |
| Phone Number | 8882031274 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Dabbs L Randal |
| Credentials | MD |
| Telephone Number | 8882031274 |
NPI Number Detail
| NPI Number | 1083835441 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2020-01-31 |
Provider Mailing Address Detail
| Address | Po Box 635705 |
|---|---|
| City | Cincinnati |
| State | Ohio (OH) |
| Post Code | 452635705 |
| Phone Number | 8882031274 |
| 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 |
|---|---|---|---|
| 3370208 | TN | -- | |
| GP5012 | SC | -- | |
| 7100046370 | KY | -- | |
| 529932974 | AL | -- | |
| 5950338 | NC | -- |
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What is the Southeastern Physician Services Pc's 1083835441?
The Southeastern Physician Services Pc's NPI (National Provider Identifier) Number is 1083835441. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Southeastern Physician Services Pc located?
The Southeastern Physician Services Pc is located at Po Box 635705, Cincinnati, OH 452635705.
What is the area of specialization for Southeastern Physician Services Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Southeastern Physician Services Pc is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1083835441 to Southeastern Physician Services Pc?
The Southeastern Physician Services Pc received its 1083835441 assignment from the Centers for Medicare & Medicaid Services on 2007-05-02.
When was the Southeastern Physician Services Pc's information last updated?
The Southeastern Physician Services Pc's information was last updated on 2020-01-31.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC