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Organization

SOUTHEASTERN MED CONSULTANTS, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NYCOLE HAWKINS (CONSULTING MANAGER)
(205) 317-2712
Entity
Organization

Contact information

Practice address
436 COUNTY RD, THORSBY, AL 35171
(256) 655-2088
Mailing address
PO BOX 298, SHANNON, AL 35142-0298

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
08/23/2022
Last updated
08/23/2022
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