SOUTHEASTERN CLINICS LLC NPI 1396148169

NPI Information

  • NPI: 1396148169
  • Provider Name: SOUTHEASTERN CLINICS LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 01D0939515
  • Address: 114 HAMRIC DR E STE 5
    OXFORD, AL
    ZIP 36203
  • Phone: (256) 403-5662

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NPI Details

SOUTHEASTERN CLINICS LLC is a general practice in Oxford, AL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SOUTHEASTERN CLINICS LLC NPI is 1396148169. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

114 HAMRIC DR E STE 5
OXFORD, AL
ZIP 36203-434
Phone: (256) 403-5662
Fax: (256) 403-5673

The provider's authorized official is David Gray .
The authorized official title is Administrator and has the following contact phone number (256) 310-3015.

The CLIA number assigned to this NPI record is 01D0939515 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/7/2014 and was last updated on 10/7/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

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: 11/21/2025

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