NPI 1023358660

Southeastern Medical Management Associates

Organisation Health Maintenance Organization Montgomery, AL

Practice location

Address: 6713 Old Leeds Rd, Montgomery, AL 36117-2407
Phone: (334) 300-9618
Mailing address: PO Box 241983, Montgomery, AL 36124-1983

Authorised official

Name: Shannon Snell
Title: Owner
Phone: (334) 300-9618

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 9116005205 (AL)

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Registry record

NPI: 1023358660
Entity type: Organization
NPI issued: 19 Feb 2013
Record last updated: 29 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.