Southeastern Physician Services Pc

LBN: Southeastern Physician Services Pc
Southeastern Physician Services Pc is an health care organization with primary practice located at 990 Oak Ridge Tpke , Oak Ridge TN 37830-6976. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hospitalist, Ambulatory Health Care Facilities / Adult Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Hospitalist is the primary health care specialty. Southeastern Physician Services Pc can be contacted via phone (865) 481-1000, or through Dabbs, Randal L via phone (888) 203-1274.

Contact Information

Primary practice address
990 Oak Ridge Tpke Oak Ridge TN 37830-6976
Phone: (865) 481-1000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dabbs, Randal L Doctor of Medicine (MD)
Phone: (888) 203-1274

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Tennessee
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X Tennessee
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X Tennessee

Profile Details

NPI number 1083835441
LBN Legal business name Southeastern Physician Services Pc
DBA Doing business as
Authorized official Dabbs, Randal L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2007
Last updated Jan 31st, 2020 - about 4 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 1083835441 NPPES
Tennessee MEDICAID 3370208
Tennessee MEDICAID GP5012
Tennessee MEDICAID 7100046370
Tennessee MEDICAID 529932974
Tennessee MEDICAID 5950338

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