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Organization
SOUTHEAST ALABAMA SURGICAL LLC
Active
Organization
SOUTHEAST ALABAMA SURGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHA VOSS MD (CEO)
(334) 804-3536
Entity
Organization
Contact information
Practice address
107 OBRANNAN PARK DRIVE, DOTHAN, AL 36303
(478) 330-5747
(478) 310-3105
Mailing address
1114 GA HIGHWAY 96 STE C1, KATHLEEN, GA 31047-4102
(478) 330-5747
(478) 310-3105
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/07/2025
Last updated
06/01/2026
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