Organization
SOUTHEASTERN ENT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MICHAEL MCQUEEN M.D. (OWNER)
(334) 393-6837
Entity
Organization
Contact information
Practice address
107 E WATTS ST, ENTERPRISE, AL 36330-2511
(334) 393-6837
(334) 393-7011
Mailing address
107 E WATTS ST, P.O. BOX 311307, ENTERPRISE, AL 36330-2511
(334) 393-6837
(334) 393-7011
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
06245
AL
174400000X
Specialist
14766
AL
174400000X
Specialist
22530
AL
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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