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Organization
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Active
Organization
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Active
Other names
Southeastern Health Women's Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELLA HUNT (CREDENTIALING SPECIALIST)
(910) 737-3147
Entity
Organization
Contact information
Practice address
295 W 27TH ST, LUMBERTON, NC 28358-3016
(910) 739-5550
(910) 739-3550
Mailing address
2002 N CEDAR ST STE B, LUMBERTON, NC 28358-3926
(910) 272-3048
(910) 738-3764
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
02/06/2015
Last updated
10/28/2020
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