Provider Demographics
NPI:1164858122
Name:PLANNED PARENTHOOD SOUTHEAST
Entity Type:Organization
Organization Name:PLANNED PARENTHOOD SOUTHEAST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REVENUE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:GAGANIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-567-8354
Mailing Address - Street 1:241 PEACHTREE ST NE STE 400
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-1423
Mailing Address - Country:US
Mailing Address - Phone:404-688-9300
Mailing Address - Fax:404-688-0621
Practice Address - Street 1:717 DOWNTOWNER LOOP W
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-5503
Practice Address - Country:US
Practice Address - Phone:251-342-6695
Practice Address - Fax:251-342-8999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-23
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty