Southeast Rehabilitation Corp

LBN: Southeast Rehabilitation Corp
Southeast Rehabilitation Corp is an health care organization with primary practice located at 3312 Northside Dr Ste A110 , Macon GA 31210-2520. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Southeast Rehabilitation Corp can be contacted via phone (478) 477-2314, or through Mansour, Victoria via phone (478) 477-2314.

Contact Information

Primary practice address
3312 Northside Dr Ste A110 Macon GA 31210-2520
Phone: (478) 477-2314
Fax: (478) 477-3599
Website:
Map and Directions
Authorized official contact:
Name: Mansour, Victoria Doctor of Medicine (MD)
Phone: (478) 477-2314

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X

Profile Details

NPI number 1093727067
LBN Legal business name Southeast Rehabilitation Corp
DBA Doing business as
Authorized official Mansour, Victoria Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2006
Last updated Nov 20th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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