SOUTHEAST CARDIOLOGY CLINIC INC. NPI 1285790915

NPI Information

SOUTHEAST CARDIOLOGY CLINIC INC. is a cardiovascular disease internal medicine in Dothan, AL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. SOUTHEAST CARDIOLOGY CLINIC INC. NPI is 1285790915. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1150 ROSS CLARK CIR
DOTHAN, AL
ZIP 36301-022
Phone: (334) 712-1929
Fax: (334) 712-2799

The provider's authorized official is Donna Bridwell .
The authorized official title is Insurance Supervisor and has the following contact phone number (334) 712-1929.

The CLIA number assigned to this NPI record is 01D0304803 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 8/3/2011.

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:

Other Identifiers

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