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SOUTHEASTERN BALANCE CENTERS LLC NPI 1780953588


NPI Information

NPI: 1780953588
Provider Name: SOUTHEASTERN BALANCE CENTERS LLC

Doing Business As: SOUTHEASTERN BALANCE CENTERS OF PRATTVILLE

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
660 MCQUEEN SMITH RD N
SUITE F
PRATTVILLE, AL
ZIP 36066
Phone: (334) 358-8666
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SOUTHEASTERN BALANCE CENTERS LLC is a podiatrist in Prattville, AL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. SOUTHEASTERN BALANCE CENTERS LLC NPI is 1780953588. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southeastern Balance Centers Of Prattville.

The provider's business location address is:

660 MCQUEEN SMITH RD N
SUITE F
PRATTVILLE, AL
ZIP 36066-554
Phone: (334) 358-8666

The provider's authorized official is Tommy Garnett .
The authorized official title is Owner and has the following contact phone number (334) 514-3466.

The enumeration date for this NPI number is 12/22/2011 and was last updated on 12/22/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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