| NPI | 1861377970 |
|---|---|
| Doing Business As | SOUTHEASTERN SPINE |
| Entity Type | Organization |
| Authorized Contact | DANIEL CLAY CONVILLE Vice President, Physician Services 205-759-6165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-09-02 |