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Organization
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Active
Organization
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Active
Other names
Southeastern Maternal Fetal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ELLA HUNT (CREDENTIALING SPECIALIST)
(910) 737-3147
Entity
Organization
Contact information
Practice address
4901 DAWN DR STE 1200, LUMBERTON, NC 28360-0004
(910) 671-4214
(910) 671-4215
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
09/03/2019
Last updated
10/08/2020
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