Organization
SOUTHEASTERN MEDICAL MANAGEMENT ASSOCIATES
Active
Organization
SOUTHEASTERN MEDICAL MANAGEMENT ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON SNELL (OWNER)
(334) 300-9618
Entity
Organization
Contact information
Practice address
6713 OLD LEEDS RD, MONTGOMERY, AL 36117-2407
(334) 300-9618
Mailing address
PO BOX 241983, MONTGOMERY, AL 36124-1983
(334) 300-9618
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
9116005205
AL
Other
Enumeration date
02/19/2013
Last updated
08/29/2013
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