Organization
SOUTHEASTERN DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM CARL WAINSCOTT II (CFO)
(205) 613-5255
Entity
Organization
Contact information
Practice address
86261 HIGHWAY 9, ASHLAND, AL 36251-7823
(205) 613-5255
Mailing address
109 FOOTHILLS PKWY, SUITE 113, CHELSEA, AL 35043-8235
(205) 619-5255
(205) 618-9706
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
246XS1301X
Sonography Specialist/Technologist Cardiovascular
—
—
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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