Organization
SOUTHEASTERN MEDICAL SUPPLY LLC
Active
Parent organization
SOUTHEASTERN MEDICAL SUPPLY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHEASTERN MEDICAL SUPPLY LLC
Authorized official
SARA MAHAN (ASSISTANT)
(606) 258-0001
Entity
Organization
Contact information
Practice address
120 S HIGHWAY 27 STE 4, SOMERSET, KY 42501-1784
(606) 679-0155
(606) 679-0088
Mailing address
PO BOX 1565, CORBIN, KY 40702-1565
(606) 258-0001
(606) 258-0021
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/22/2021
Last updated
02/17/2021
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