| Southeastern Diagnostics, Llc | |
|
86261 Highway 9 Ashland AL 36251-7823 | |
| (205) 613-5255 | |
| Not Available |
| Full Name | Southeastern Diagnostics, Llc |
|---|---|
| Speciality | General Practice |
| Location | 86261 Highway 9, Ashland, Alabama |
| Authorized Official Name and Position | William Carl Wainscott (CFO) |
| Authorized Official Contact | 2056135255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Diagnostics, Llc 109 Foothills Pkwy Suite 113 Chelsea AL 35043-8235 Ph: (205) 619-5255 | Southeastern Diagnostics, Llc 86261 Highway 9 Ashland AL 36251-7823 Ph: (205) 613-5255 |
| NPI Number | 1689036477 |
|---|---|
| Provider Enumeration Date | 03/22/2016 |
| Last Update Date | 03/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689036477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 246XS1301X | Specialist/technologist Cardiovascular - Sonography | (* (Not Available)) | Secondary |
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