Southeastern Pediatric Associates, P.a.

NPI #1093907412 in Dothan, Alabama

Provider Information

NPI Number: 1093907412
Entity Type: Organization
Organization Name: Southeastern Pediatric Associates, P.a.
Primary Specialty: Pediatrics
Enumeration Date: Aug 10, 2007
Last Updated: Jan 12, 2011

Practice Location

Address: 364 HONEYSUCKLE RD
City: Dothan
State: Alabama
ZIP Code: 36305-1140
Phone: (334) 794-8656

Authorized Official

Name: MRS. S. LUCY EVERETT
Title: OFFICE MANAGER
Phone: (334) 794-8656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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