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Contact Information

SOUTHEASTERN OVERREAD SERVICES, PLLC
3723 W MARKET ST
SUITE A
GREENSBORO, NC27403-1590
 Phone: 336-852-3488
 Fax: 336-852-3442
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Body Imaging

2085B0100X
Indicates primary specialty

NPI Profile & details for SOUTHEASTERN OVERREAD SERVICES, PLLC

NPI Number 1124060678
LBN Legal business name SOUTHEASTERN OVERREAD SERVICES, PLLC
Authorized official DALLAS SMITH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/11/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NC Medicaid 89013TR
NC Other 013TR BLUE CROSS/BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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