Organization · Type 2 NPI
Southeastern Surgery
Clinic/Center · Logan, OH
NPI number
1639536089
Active
Practice location
144 East Main Street
Logan, OH 43138
Fax (740) 385-1875
Mailing address
12413 State Route 93 N
Logan, OH 43138-9306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 34. 002686 (OH) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
About NPI 1639536089
Southeastern Surgery's National Provider Identifier is 1639536089, issued on Jan 15, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Logan, OH. The record was last updated on Jan 15, 2016.