# SOUTHEAST FAMILY HEALTHCARE PC

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

## Provider details

- **NPI number:** 1518066984
- **Authorized official:** TERESA C LASSITER (OFFICE MANAGER)
- **Authorized official phone:** (334) 983-5994

## Contact information

- **Practice address:** 15079 S US HIGHWAY 231, MIDLAND CITY, AL 36350-6305
- **Practice address phone:** (334) 983-5994
- **Practice address fax:** (334) 983-4954
- **Mailing address:** 15079 S US HIGHWAY 231, MIDLAND CITY, AL 36350-6305
- **Mailing address phone:** (334) 983-5994
- **Mailing address fax:** (334) 983-4954

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 22263 | AL | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 04/30/2013