| Organization Name: | SOUTHEASTERN OVERREAD SERVICES, PLLC |
| NPI Number: | 1124060678 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DALLAS A SMITH (PRESIDENT) |
| Mailing Address: | 3723 W Market St Suite A Greensboro |
| State: | NC US |
| Postal Code: | 274031590 |
| Phone Number: | 3368523488 |
| Fax Number: | 3368523442 |
| NPI Enumeration Date: | 06/11/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |