| NPI | 1053659904 |
|---|---|
| Doing Business As | SOUTHEASTHEALTH |
| Entity Type | Organization |
| Authorized Contact | PAULA E HARRIS VP Regional Operations 573-778-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-03-04 |