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Organization
SOUTHEASTERN MEDICAL GROUP, LLC
Active
Organization
SOUTHEASTERN MEDICAL GROUP, LLC
Active
Other names
Madison Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARLEE BRUNO (ADMINISTRATOR)
(256) 722-0555
Entity
Organization
Contact information
Practice address
1230 SLAUGHTER RD, SUITE C, MADISON, AL 35758-5900
(256) 722-0555
(256) 830-5135
Mailing address
1230 SLAUGHTER RD, SUITE C, MADISON, AL 35758-5900
(256) 722-0555
(256) 830-5135
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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