Organization
SOUTHEASTERN EMERGENCY SERVICES P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDAL L DABBS M.D. (PRESIDENT)
(865) 693-1000
Entity
Organization
Contact information
Practice address
1114 W MADISON AVE, ATHENS, TN 37371
(423) 745-1411
Mailing address
P O BOX 634760, CINCINNATI, OH 45263-4760
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
TN
363L00000X
Nurse Practitioner
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02121280
—
MS
05
—
05515899
—
MS
05
—
06310389
—
MS
05
—
2348298
—
NC
05
—
507432003
—
MO
05
—
529929400
—
AL
05
—
7100010470
—
KY
05
—
78903671
—
KY
05
—
GP4818
—
SC
Enumeration date
06/11/2006
Last updated
09/14/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us