Southeastern Emergency Services P C

Nurse Practitioner · Athens, TN

Organization Active NPI

NPI number 1669414264

Practice location

1114 W Madison Ave
Athens, TN 37371
Phone
(423) 745-1411

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NPI record

NPI
1669414264
Entity type
Organization (Type 2)
Enumeration date
June 11, 2006
Last updated
September 14, 2020
Certified
September 14, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X — —
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X — —
Physician Assistant 363A00000X — —
Medical Physician Assistant 363AM0700X — —
Nurse Practitioner 363L00000X — TN
Pediatric Nurse Practitioner 363LP0200X — TN

Mailing address

P O Box 634760
Cincinnati, OH 45263-4760

Authorized official

Name
Dr. Randal L Dabbs, M.D.
Title
President
Phone
(865) 693-1000

About Southeastern Emergency Services P C

Southeastern Emergency Services P C is a healthcare organization registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1114 W Madison Ave, Athens, TN 37371. The NPI number 1669414264 was assigned on June 11, 2006 and the record was last updated on September 14, 2020.

The authorized official for this organization is Dr. Randal L Dabbs, M.D., President.

Frequently asked questions

What is the NPI number of Southeastern Emergency Services P C?

The NPI number is 1669414264.

What is the phone number of Southeastern Emergency Services P C?

The phone number listed for the practice location is (423) 745-1411.

Where is Southeastern Emergency Services P C located?

1114 W Madison Ave, Athens, TN 37371.

What is the taxonomy code for Southeastern Emergency Services P C?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 5 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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