SOUTHEASTERN FAMILY FOOT CARE, LLC; NPI #1033457106

Contact Information

SOUTHEASTERN FAMILY FOOT CARE, LLC

461 COTTON GIN RD
MONTGOMERY, AL 36117

Phone: 334-557-0900
Fax: 334-557-0901
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot	213ES0131X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for SOUTHEASTERN FAMILY FOOT CARE, LLC

NPI Number 1033457106

LBN Legal business name SOUTHEASTERN FAMILY FOOT CARE, LLC

Authorized official TROY ZIMBELMAN - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/24/2013

Last updated 07/02/2019 - About 7 years ago

Identifiers

License #

182

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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