Organization
HOSPITAL PHYSICIAN SERVICES - SOUTHEAST PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA LYNN SCANLAN (PE DIRECTOR)
(954) 377-2954
Entity
Organization
Contact information
Practice address
2151 W SPRING ST, MONROE, GA 30655-3202
(770) 267-8461
Mailing address
1643 NW 136TH AVE STE 100, SUNRISE, FL 33323-2857
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
638161388A
—
GA
01
—
DE6935
MEDICARE TRAVELERS RR
GA
Enumeration date
06/30/2006
Last updated
01/14/2025
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