Organization
SOUTHEAST PAIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WILLIAM SIMPSON MD (PRESIDENT)
(941) 360-1566
Entity
Organization
Contact information
Practice address
200 INDUSTRIAL BLVD, DUBLIN, GA 31021-2981
(478) 275-4740
Mailing address
PO BOX 3645, SPRINGFIELD, IL 62708-3645
(941) 360-1566
(941) 358-9818
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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