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SOUTHEAST INTERNAL MEDICINE PC
NPI 1104847607
Internal Medicine in Waycross, GA

Active since July 21, 2006
406 RIVERSIDE DR, WAYCROSS, GA 31501(912) 287-1555 Get Directions Write a Review

NPPES record last updated: June 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southeast Internal Medicine Pc NPPES

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

SOUTHEAST INTERNAL MEDICINE PC (NPI 1104847607) is a healthcare organization registered as an internal medicine in Waycross, Georgia and active in the NPI registry since July 2006. The organization lists Pauline M Bellecci, Physician, as its authorized official.

NPPES Registry Identity

NPI1104847607
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHEAST INTERNAL MEDICINE PC
Location Address406 RIVERSIDE DRWaycross, GA 31501-5315
Mailing AddressPo Box 777Waycross, GA 31502-0777 · (912) 287-1555
Phone(912) 287-1555
Organization SubpartNo
Authorized OfficialPauline M BellecciPhysician · (912) 287-1555
Enumeration DateJuly 21, 2006
Last NPPES UpdateJune 5, 2014
✔ NPI 1104847607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
406 RIVERSIDE DR, Waycross, GA 31501
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Other Identifiers 2

OtherGRP642GA · Medicare Ptan
OtherCC4999GA · Palmetto Gba Medicare

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

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 Internal Medicine PC's NPI number?

The NPI number for Southeast Internal Medicine PC is 1104847607. It was assigned to this organization in the NPPES registry on July 21, 2006.

Where is Southeast Internal Medicine PC located?

Southeast Internal Medicine PC is located at 406 Riverside Dr, Waycross, GA 31501. The listed phone number is (912) 287-1555.

What is Southeast Internal Medicine PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Southeast Internal Medicine PC was last updated on June 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.