# SOUTHEASTERN INTEGRATED CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245681048
- **Authorized official:** MR. DANIEL Z. MORMAN (CEO)
- **Authorized official phone:** (704) 294-1075

## Contact information

- **Practice address:** 68 THREE HUNTS DR STE A, PEMBROKE, NC 28372-7319
- **Practice address phone:** (910) 522-0408
- **Practice address fax:** (704) 931-9199
- **Mailing address:** 68 THREE HUNTS DR STE A, PEMBROKE, NC 28372-7319
- **Mailing address phone:** (910) 522-0408
- **Mailing address fax:** (704) 931-9199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NC | Yes |

## Other

- **Enumeration date:** 06/23/2016
- **Last updated:** 02/17/2017