Southeast Support Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOUTHEAST SUPPORT SERVICES

Practice address

139 Altama Connector # 193
Brunswick, GA 31525-1888

Phone

(336) 471-8130

NPI assigned

Jul 24, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shawana Torrence

Title

Ceo

Phone

(336) 471-8130

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1396153136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4094",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274044094",
            "telephone_number": "336-471-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 ALTAMA CONNECTOR # 193",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315251888",
            "telephone_number": "336-471-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "TORRENCE",
        "authorized_official_first_name": "SHAWANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-471-8130"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Georgia Open MRI LLC
• Southeast Georgia Urology Associates PC
• Southeast Lung & Critical Care Specialists
• Southeast Lung & Critical Care Specialists, PC
• Southeast Second Chance, Inc
• Southeastern OB-GYN, P.C.
• Southeastern Pathology Associate
• Southeastern Pathology Associates PC
• Southeastern Pathology Associates PC
• Southeastern Pharmacy LLC

• All providers in Brunswick, GA
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.