Organization Name: | SOUTHEASTERN MEDICAL MANAGEMENT ASSOCIATES |
NPI Number: | 1023358660 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHANNON SNELL (OWNER) |
Mailing Address: | 6713 Old Leeds Rd Montgomery |
State: | AL US |
Postal Code: | 361172407 |
Phone Number: | 3343009618 |
Fax Number: | |
NPI Enumeration Date: | 02/19/2013 |
NPI Last Update Date: | 08/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | 9116005205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |