Southeastern Ob, LLC

NPI #1154991073 in Memphis, Tennessee

Provider Information

NPI Number: 1154991073
Entity Type: Organization
Organization Name: Southeastern Ob, LLC
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Jul 1, 2021
Last Updated: Jul 1, 2021

Practice Location

Address: 1727 KIRBY PKWY STE 200
City: Memphis
State: Tennessee
ZIP Code: 38120-8328
Phone: (870) 335-6990

Authorized Official

Name: KEVIN LONG
Title: COO
Phone: (870) 335-6990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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