# SOUTHEASTERN WELLNESS SERVICES

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

## Provider details

- **NPI number:** 1962038174
- **Authorized official:** JEFF BORDELON (OWNER)
- **Authorized official phone:** (501) 223-9948

## Contact information

- **Practice address:** 1636 HIGDON FERRY RD, HOT SPRINGS, AR 71913-6912
- **Practice address phone:** (501) 651-2000
- **Mailing address:** 11401 N RODNEY PARHAM RD STE 4, LITTLE ROCK, AR 72212-4168
- **Mailing address phone:** (501) 223-9948

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/19/2020
- **Last updated:** 07/25/2023