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Organization
SOUTHEASTERN ASC
Active
Organization
SOUTHEASTERN ASC
Active
Parent organization
SOUTHEASRERN PHYSICIANS SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHEASRERN PHYSICIANS SERVICES
Authorized official
MRS. FORDHAM BRITT (DIRECTOR)
(910) 671-5026
Entity
Organization
Contact information
Practice address
2600 N ELM ST, LUMBERTON, NC 28358-3011
(910) 737-3147
(910) 671-5538
Mailing address
2600 N. ELM ST, LUMBERTON, NC 28358
(910) 737-3147
(910) 671-5538
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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