Organization
SOUTHEASTERN MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE HEINZ (MANAGING PARTNER)
(901) 270-9988
Entity
Organization
Contact information
Practice address
498 HALLE PARK DR, COLLIERVILLE, TN 38017-7089
(800) 776-6010
Mailing address
315 MOUNTAIN BROOK CV, EADS, TN 38028-8012
(901) 270-9988
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000004703
TN
Other
Enumeration date
11/22/2016
Last updated
01/04/2017
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