Southeastern Medical Group, LLC

NPI #1922340520 in Madison, Alabama

Provider Information

NPI Number: 1922340520
Entity Type: Organization
Organization Name: Southeastern Medical Group, LLC
Primary Specialty: Family Medicine
Enumeration Date: Mar 21, 2013
Last Updated: Mar 21, 2013

Practice Location

Address: 1230 SLAUGHTER RD
Address 2: SUITE C
City: Madison
State: Alabama
ZIP Code: 35758-5900
Phone: (256) 722-0555

Authorized Official

Name: MARLEE BRUNO
Title: ADMINISTRATOR
Phone: (256) 722-0555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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