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Organization
SOUTHEASTERN INTEGRATED CARE
Active
Organization
SOUTHEASTERN INTEGRATED CARE
Active
Other names
Lumber River Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKIA DAY (CREDENTIALING SPECIALIST)
(704) 467-8799
Entity
Organization
Contact information
Practice address
105 FARM BROOK DR, LUMBERTON, NC 28358-2179
(910) 738-7789
(910) 738-7599
Mailing address
PO BOX 1572, LUMBERTON, NC 28359-1572
(910) 738-7789
(910) 738-7599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
NC
Other
Enumeration date
10/06/2005
Last updated
02/27/2025
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