# SOUTHEAST REHAB MEDICINE INC

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

## Provider details

- **NPI number:** 1609986082
- **Authorized official:** LARRY WAYNE GUY CPA (REPRESENTATIVE)
- **Authorized official phone:** (205) 685-8040

## Contact information

- **Practice address:** 3800 RIDGEWAY DR, MAGNOLIA HALL, BIRMINGHAM, AL 35209-5506
- **Practice address phone:** (205) 868-2096
- **Practice address fax:** (205) 868-2097
- **Mailing address:** PO BOX 1223, CALERA, AL 35040-1223
- **Mailing address phone:** (205) 685-8040
- **Mailing address fax:** (205) 685-8077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 06/21/2018