| Organization Name: | SOUTHEASTERN CARDIOVASCULAR ASSOCIATES PC |
| NPI Number: | 1003834672 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDWARD J PLANZ (PRESIDENT) |
| Mailing Address: | 2431 W Main St Suite 1001 Dothan |
| State: | AL US |
| Postal Code: | 363011217 |
| Phone Number: | 3347942825 |
| Fax Number: | 3347935050 |
| NPI Enumeration Date: | 07/18/2006 |
| NPI Last Update Date: | 08/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0129X |
| License Number: | 00007208 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Vascular Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |