Organization · Type 2 NPI
Southeast Alabama Surgical LLC
Ambulatory Surgical Clinic/Center · Dothan, AL
NPI number
1376358481
Active
Practice location
107 Obrannan Park Drive
Dothan, AL 36303
Fax (478) 310-3105
Mailing address
1114 Ga Highway 96 Ste C1
Kathleen, GA 31047-4102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1376358481
Southeast Alabama Surgical LLC's National Provider Identifier is 1376358481, issued on Feb 7, 2025. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Dothan, AL. The record was last updated on Jun 1, 2026.