SOUTHEASTERN SCIENTIFIC SUPPLY COMPANY LLC; NPI #1871887091

Contact Information

SOUTHEASTERN SCIENTIFIC SUPPLY COMPANY LLC

6883 JUSTIN DR
LOGANVILLE, GA 30052-6401

Phone: 770-913-8768
Fax: 770-913-8762
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Nursing Facility Supplies	332BN1400X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for SOUTHEASTERN SCIENTIFIC SUPPLY COMPANY LLC

NPI # 1871887091

LBN Legal business name SOUTHEASTERN SCIENTIFIC SUPPLY COMPANY LLC

Authorized official DAVID BRAIN - (OWNER/GM)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/06/2011

Last updated 06/06/2011 - About 15 years ago

Identifiers

License #

20113603522

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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