SOUTHEAST MEDICAL GROUP, P.C. - NPI 1558803486 - Physician Assistant in Alpharetta, GA

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

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About Southeast Medical Group, P.c. NPPES

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

SOUTHEAST MEDICAL GROUP, P.C. (NPI 1558803486) is a healthcare organization registered as a medical in Alpharetta, Georgia and active in the NPI registry since November 2016. The organization lists Michelle Schwei, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1558803486

Entity TypeOrganization

Primary Taxonomy363AM0700X

Legal Business NameSOUTHEAST MEDICAL GROUP, P.C.

Location Address3905 BROOKSIDE PKWY STE 300Alpharetta, GA 30022-4458

Mailing Address4300 N Point Pkwy Ste 300Alpharetta, GA 30022-4102 · (770) 442-9111

Phone(770) 442-1911

Fax(770) 442-0306

Organization SubpartNo

Authorized OfficialMichelle SchweiDirector Of Credentialing · (770) 518-4406

Enumeration DateNovember 9, 2016

Last NPPES UpdateAugust 8, 20244 updates tracked since enumeration

NPPES CertifiedAugust 8, 2024

✔ NPI 1558803486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in GA · 8199

3905 BROOKSIDE PKWY STE 300, Alpharetta, GA 30022

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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