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Organization
SOUTHEASTERN CARDIOLOGY PA
Active
Organization
SOUTHEASTERN CARDIOLOGY PA
Active
Other names
Bladenboro Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN HAROLD ROYAL MD (PRESIDENT)
(910) 671-6177
Entity
Organization
Contact information
Practice address
2610 N ELM ST, LUMBERTON, NC 28358-3011
(910) 671-6177
(910) 671-6177
Mailing address
2610 N ELM ST, LUMBERTON, NC 28358-3011
(910) 671-6177
(910) 671-6175
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2344619
MEDICARE
NC
Enumeration date
04/18/2008
Last updated
04/14/2011
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