A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] |
| NPI # | 1346632593 |
| LBN Legal business name | SOUTHEASTERN HEALTH PHYSICIAN SERVICES |
| Authorized official | FORDHAM BRITT - (DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/25/2015 |
| Last updated | 10/28/2020 - About 6 years ago |
| Identifiers | n/a |
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SOUTHEASTERN HEALTH PHYSICIAN SERVICES
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