# SOUTHEAST ALABAMA SURGICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376358481
- **Authorized official:** ASHA VOSS MD (CEO)
- **Authorized official phone:** (334) 804-3536

## Contact information

- **Practice address:** 107 OBRANNAN PARK DRIVE, DOTHAN, AL 36303
- **Practice address phone:** (478) 330-5747
- **Practice address fax:** (478) 310-3105
- **Mailing address:** 1114 GA HIGHWAY 96 STE C1, KATHLEEN, GA 31047-4102
- **Mailing address phone:** (478) 330-5747
- **Mailing address fax:** (478) 310-3105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | — | Yes |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/07/2025
- **Last updated:** 06/01/2026