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1871059212
SOUTHEAST MEDICAL GROUP LLC
BIRMINGHAM, AL
NPI
1871059212
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Entity Type
Organization
Authorized Contact
DOUG RANDALL
Managing Member
205-308-3183
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2019-02-11
Last Update Date
2019-02-11
Business Address
SOUTHEAST MEDICAL GROUP LLC
1930 EDWARDS LAKE RD STE 138B
BIRMINGHAM, AL 35235-3720
Phone number: 205-308-3183
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Mailing Address
SOUTHEAST MEDICAL GROUP LLC
1930 EDWARDS LAKE RD STE 138
BIRMINGHAM, AL 35235-3720
Phone number: 205-534-5114
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