Southeast Vein & Laser Center, P.c.

NPI #1376693887 in Dothan, Alabama

Provider Information

NPI Number: 1376693887
Entity Type: Organization
Organization Name: Southeast Vein & Laser Center, P.c.
Primary Specialty: Specialist
Enumeration Date: Jan 10, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 3280 ROSS CLARK CIR
City: Dothan
State: Alabama
ZIP Code: 36303-3040
Phone: (334) 678-9494

Authorized Official

Name: DR. KENNETH L TODD III, M.D., FACPH
Title: PRESIDENT
Phone: (334) 678-9494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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