Organization
SOUTHEASTERN HOSPITALIST PHYSICIANS, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERIK K KING (LLP MANAGING PARTNER)
(866) 916-5259
Entity
Organization
Contact information
Practice address
901 GRIFFIN AVE, EASTMAN, GA 31023-6720
(478) 448-4000
(478) 374-9411
Mailing address
75 REMIT DR, SUITE 1209, CHICAGO, IL 60675-1209
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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