Southeastern Ent, P.c.
NPI #1487708731 in Enterprise, Alabama
Provider Information
- NPI Number
- 1487708731
- Entity Type
- Organization
- Organization Name
- Southeastern Ent, P.c.
- Primary Specialty
- Specialist
- Enumeration Date
- Jan 23, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 107 E WATTS ST
- City
- Enterprise
- State
- Alabama
- ZIP Code
- 36330-2511
- Phone
- (334) 393-6837
Authorized Official
- Name
- JAMES MICHAEL MCQUEEN, M.D.
- Title
- OWNER
- Phone
- (334) 393-6837
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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