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Organization

SOUTHEAST REHAB MEDICINE INC

Active
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Organization

SOUTHEAST REHAB MEDICINE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY WAYNE GUY CPA (REPRESENTATIVE)
(205) 685-8040
Entity
Organization

Contact information

Practice address
3800 RIDGEWAY DR, MAGNOLIA HALL, BIRMINGHAM, AL 35209-5506
(205) 868-2096
(205) 868-2097
Mailing address
PO BOX 1223, CALERA, AL 35040-1223
(205) 685-8040
(205) 685-8077

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
08/30/2006
Last updated
06/21/2018
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