SOUTHEASTERN CLINICS LLC


Address: 114 Hamric Dr E Ste 5, Oxford, AL 36203-2434
Phone: 2564035662

SOUTHEASTERN CLINICS LLC (NPI# 1396148169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396148169
Entity Type Organization
Organization Name SOUTHEASTERN CLINICS LLC
Practice Address 114 Hamric Dr E Ste 5
Oxford
AL 36203-2434
Practice Telephone 2564035662
Practice Fax Number 2564035673
Mailing Telephone 2564035662
Mailing Fax Number 2564035673
Enumeration Date 2014-10-07
Last Update Date 2014-10-07
Authorized Official Name MR. DAVID GRAY (ADMINISTRATOR)
Authorized Official Telephone 2563103015
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Office Location

Street Address 114 HAMRIC DR E STE 5
City OXFORD
State AL
Zip Code 36203-2434

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194724989 David Edward Wade Chiropractor 114 Hamric Dr E Ste 5, Oxford, AL 36203-2434 2005-07-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295371375 Brittany Mcevoy Registered Nurse 1477 Taylors Chapel Road, Oxford, AL 36203 2019-11-22
1154978500 Anthony Quandrez Mckinney Technician 602 Lane Road, Oxford, AL 36203 2019-08-21
1619467289 Carey Dillard Hill Optometrist Oxford Exchange, 800 Oxford Exchange Boulevard, Oxford, AL 36203 2018-05-18
1477084051 Betsy Brittain Brittain Speech-Language Pathologist 1130 South Hale Street, Oxford, AL 36203 2017-03-24
1427504760 Eyemart Express LLC Eyewear Supplier (Equipment, not the service) 50 Commons Way, Suite D, Oxford, AL 36203 2016-08-28
1417372509 Hala Shama Mourtada Licensed Practical Nurse 6213 Shannon Brook Lane, Oxford, AL 36203 2014-02-26
1821262429 Stacey Smith Johnson Dietitian, Registered 96 Ali Way Creekside South, Oxford, AL 36203 2008-04-15
1831389832 Natalie M Lindell Internal Medicine 6 Allen Parkway, Oxford, AL 36203 2007-07-26
1467679480 Physicians Choice Dialysis of Oxford, LLC Clinic/Center 711 Snow Street, Oxford, AL 36203 2007-04-19
1720136443 Keel and Associates General Practice 1612 Highway 78 East, Suite 100, Oxford, AL 36203 2007-01-08
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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1710215108 Eugene Carroll Stone Jr. General Practice 105 Colonial Rd, Oxford, MS 38655-2601 2009-11-24
1720136443 Keel and Associates General Practice 1612 Highway 78 East, Suite 100, Oxford, AL 36203 2007-01-08
1861493587 Oxford Medical Center General Practice 620 Spear Street, Oxford, PA 19363 2005-08-03
1033627245 Integrated Wound Care New Jersey General Practice 350 Oxford Rd, Oxford, NJ 07863-3224 2018-01-22
1578879235 Oxford After Hours Clinic, LLC General Practice 1929 University Ave, Oxford, MS 38655-4113 2010-08-19
1447570957 Granville Health Inc. General Practice 1010 College St, Oxford, NC 27565-2507 2010-06-07
1548452717 Spohn Magnatta & Giuliani P.C. General Practice 385 N Lapeer Rd, Oxford, MI 48371-3610 2007-08-13
1801941018 Wilton Rodwell Drake Jr. General Practice 101 Hunt St, Oxford, NC 27565-3414 2007-01-25

Providers in the same taxonomy and state

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1922624097 Kyle Rolfe General Practice 1962 Schillinger Rd S, Mobile, AL 36695-4118 2020-06-24
1497390447 Dw Mcmillan Memorial Hospital General Practice 1311 Mcmillan Ave, Brewton, AL 36426-1324 2019-11-14
1871059212 Southeast Medical Group LLC General Practice 1930 Edwards Lake Rd Ste 138b, Birmingham, AL 35235-3720 2019-02-11
1528561974 Stephen David Thrasher General Practice 2215 California St Se, Huntsville, AL 35801-2706 2018-03-12
1487170031 Premier Medical Housecall, LLC General Practice 173 Cahaba Valley Pkwy, Pelham, AL 35124-1144 2017-08-16
1336662287 Center Point Medical LLC General Practice 151 Woodham Dr, Albertville, AL 35951-3301 2017-07-24
1558898874 B Vitality Pllc General Practice 3425 Colonnade Pkwy Ste C, Birmingham, AL 35243-2356 2017-05-17
1710438502 Homewood Family Wellcare LLC General Practice 1 Independence Plz Ste 410, Homewood, AL 35209-2648 2016-10-17
1750837068 Michelle R. Grana, Do; PC General Practice 470 Providence Main St Nw Ste 302a, Huntsville, AL 35806-4843 2016-08-27
1073964979 Taurin Pyongkap Lee General Practice 2713 Downing St, Huntsville, AL 35801 2016-06-22
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Competitor

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City OXFORD
Zip Code 36203

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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