| NPI | 1285097477 |
|---|---|
| Doing Business As | SOUTHEAST CARDIOVASCULAR |
| Entity Type | Organization |
| Authorized Contact | ROBERT DEREK MILLER CFO 334-793-8111 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |