| NPI | 1629111729 |
|---|---|
| Doing Business As | SOUTHEASTHEALTH INTERNAL MEDICINE OF DEXTER |
| Entity Type | Organization |
| Authorized Contact | KATHY VICKERY Vice President Regional Operations 573-614-1901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2015-12-01 |