| Southeastern Wellness Services | |
|
1636 Higdon Ferry Rd Hot Springs AR 71913-6912 | |
| (501) 651-2000 | |
| Not Available |
| Full Name | Southeastern Wellness Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 1636 Higdon Ferry Rd, Hot Springs, Arkansas |
| Authorized Official Name and Position | Jeff Bordelon (OWNER) |
| Authorized Official Contact | 5012239948 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Wellness Services 11401 N Rodney Parham Rd Ste 4 Little Rock AR 72212-4168 Ph: (501) 223-9948 | Southeastern Wellness Services 1636 Higdon Ferry Rd Hot Springs AR 71913-6912 Ph: (501) 651-2000 |
| NPI Number | 1962038174 |
|---|---|
| Provider Enumeration Date | 03/19/2020 |
| Last Update Date | 07/25/2023 |
| Medicare PECOS PAC ID | 8527498336 |
|---|---|
| Medicare Enrollment ID | O20200420000166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962038174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeffrey H Bordelon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033267679 PECOS PAC ID: 8729983390 Enrollment ID: I20041012000800 |
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