Organization
SOUTHEAST VEIN & LASER CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH L TODD III M.D., FACPH (PRESIDENT)
(334) 678-9494
Entity
Organization
Contact information
Practice address
3280 ROSS CLARK CIR, DOTHAN, AL 36303-3040
(334) 678-9494
(334) 678-8878
Mailing address
3280 ROSS CLARK CIR, DOTHAN, AL 36303-3040
(334) 678-9494
(334) 678-8878
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15348
AL
Other
Enumeration date
01/10/2007
Last updated
08/22/2020
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