Southeastern Medical Group, Pc

NPI 1184669053 - Hospitalist - 208M00000X

NPI Details
NPI 1184669053
Enumeration Date 06/17/2006
Last Updated 11/10/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RANDAL L RANDAL
Position PRESIDENT
Phone (865) 690-3411
Fax
Practice Location
801 VANOSDALE RD
KNOXVILLE TN, 37909-2497, US
Phone (865) 690-3411
Fax
Business Location
PO BOX 636020
CINCINNATI OH, 45263-6020, US
Phone
Fax
Toxanomy
Taxonomy Code 208M00000X
License State
License Number
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According to our database, Southeastern Medical Group, Pc NPI is 1184669053, taxonomy code is 208M00000X Southeastern Medical Group, Pc physically located at 801 Vanosdale Rd, Knoxville TN, 37909-2497. NPI Number 1033115704 has the healthcare provider type.

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1184669053 NPI number is provided on an as is basis without warranty of any kind. 1184669053 is maintained by the National Plan & Provider Enumeration System. The contents of Southeastern Medical Group, Pc are for informational purposes only.