Southeastern Medical Group, Pc

LBN: Southeastern Medical Group, Pc
Southeastern Medical Group, Pc is an health care organization with primary practice located at 801 Vanosdale Rd , Knoxville TN 37909-2497. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as the primary health care specialty. Southeastern Medical Group, Pc can be contacted via phone (865) 690-3411, or through Dabbs, Randal L via phone (865) 693-1000.

Contact Information

Primary practice address
801 Vanosdale Rd Knoxville TN 37909-2497
Phone: (865) 690-3411
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dabbs, Randal L Doctor of Medicine (MD)
Phone: (865) 693-1000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X

Profile Details

NPI number 1184669053
LBN Legal business name Southeastern Medical Group, Pc
DBA Doing business as
Authorized official Dabbs, Randal L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2006
Last updated Nov 10th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184669053 NPPES
Tennessee MEDICAID 3705406
Tennessee Other DD8348
Tennessee Other 611073900

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