Organization
SOUTHEAST TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT EARL WINDSOR JR. MD (CEO/OWNER)
(770) 850-8464
Entity
Organization
Contact information
Practice address
88 LINDSEY LN, STE C, KINGSLAND, GA 31548-6857
(912) 673-7074
(912) 673-6896
Mailing address
88 LINDSEY LN, STE C, KINGSLAND, GA 31548-6857
(912) 673-7074
(912) 673-6896
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/07/2008
Last updated
04/05/2013
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