| Southeast Family Healthcare Pc | |
|
15079 S Us Highway 231 Midland City AL 36350-6305 | |
| (334) 983-5994 | |
| (334) 983-4954 |
| Full Name | Southeast Family Healthcare Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 15079 S Us Highway 231, Midland City, Alabama |
| Authorized Official Name and Position | Teresa C Lassiter (OFFICE MANAGER) |
| Authorized Official Contact | 3349835994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Family Healthcare Pc 15079 S Us Highway 231 Midland City AL 36350-6305 Ph: (334) 983-5994 | Southeast Family Healthcare Pc 15079 S Us Highway 231 Midland City AL 36350-6305 Ph: (334) 983-5994 |
| NPI Number | 1518066984 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 04/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518066984 | NPI | - | NPPES |
| 009996800 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 22263 (Alabama) | Primary |
Community Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15079 S Us Highway 231, Midland City, AL 36350 Phone: 334-547-7979 Fax: 334-547-7980 |