SOUTHEASTERN ORTHOPAEDICS SURGERY CENTER – NPI #1326388000
Clinic/Center

SOUTHEASTERN ORTHOPAEDICS SURGERY CENTER is an AHC clinic located in DOUGLAS, GA. NPPES has assigned the NPI number 1326388000 to SOUTHEASTERN ORTHOPAEDICS SURGERY CENTER on February 18, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 12 years ago on May 19, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHEASTERN ORTHOPAEDICS SURGERY CENTER below.

NPI Profile for
SOUTHEASTERN ORTHOPAEDICS SURGERY CENTER

NPI Number
1326388000
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHEASTERN ORTHOPAEDICS SURGERY CENTER
Primary location
110 SHIRLEY AVENUE
DOUGLAS, GA 31533-2211
Phone: (912) 383-9789 Fax: (912) 383-9435
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KENDRA STREAT
ADMINISTRATOR
Phone: (912) 383-9789
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.