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SOUTHEAST REHABILITATION CORP
NPI 1093727067
Physical Medicine & Rehabilitation - Pain Medicine in Macon, GA

Active since August 11, 2006
3312 NORTHSIDE DR STE A110, MACON, GA 31210(478) 477-2314(478) 477-3599 Get Directions Write a Review

NPPES record last updated: November 20, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southeast Rehabilitation Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST REHABILITATION CORP (NPI 1093727067) is a healthcare organization registered as a pain medicine in Macon, Georgia and active in the NPI registry since August 2006. The organization lists Victoria Mansour, Owner, as its authorized official.

NPPES Registry Identity

NPI1093727067
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameSOUTHEAST REHABILITATION CORP
Location Address3312 NORTHSIDE DR STE A110Macon, GA 31210-2520
Mailing Address3312 Northside Dr Ste A110Macon, GA 31210-2520 · (478) 477-2314 · Fax (478) 477-3599
Phone(478) 477-2314
Fax(478) 477-3599
Organization SubpartNo
Authorized OfficialVictoria MansourOwner · (478) 477-2314
Enumeration DateAugust 11, 2006
Last NPPES UpdateNovember 20, 2007
✔ NPI 1093727067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
3312 NORTHSIDE DR STE A110, Macon, GA 31210
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Other Identifiers 1

Medicare PINGRP6554

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORIA T MANSOUR MD
Physical Medicine & Rehabilitation (Pain Medicine)
3312 NORTHSIDE DR STE A110
MACON, GA 31210
Bibb County (478) 477-2314

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Rehabilitation Corp's NPI number?

The NPI number for Southeast Rehabilitation Corp is 1093727067. It was assigned to this organization in the NPPES registry on August 11, 2006.

Where is Southeast Rehabilitation Corp located?

Southeast Rehabilitation Corp is located at 3312 Northside Dr Ste A110, Macon, GA 31210. The listed phone number is (478) 477-2314.

What is Southeast Rehabilitation Corp's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

When was this NPI record last updated?

The NPPES record for Southeast Rehabilitation Corp was last updated on November 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.