Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southeast Rehabilitation Corp

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1093727067

Southeast Rehabilitation Corp is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Macon, Georgia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3312 Northside Dr Ste A110
Macon, GA 31210-2520
Phone: (478) 477-2314
Fax: (478) 477-3599
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X

Record details

NPI number1093727067
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victoria Mansour — Owner · (478) 477-2314
NPI enumeratedAugust 11, 2006
Last updated in NPPESNovember 20, 2007
Mailing address3312 Northside Dr Ste A110, Macon, GA 31210-2520

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