# SOUTHEASTERN ASC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHEASRERN PHYSICIANS SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477941649
- **Legal business name:** SOUTHEASRERN PHYSICIANS SERVICES
- **Authorized official:** MRS. FORDHAM BRITT (DIRECTOR)
- **Authorized official phone:** (910) 671-5026

## Contact information

- **Practice address:** 2600 N ELM ST, LUMBERTON, NC 28358-3011
- **Practice address phone:** (910) 737-3147
- **Practice address fax:** (910) 671-5538
- **Mailing address:** 2600 N. ELM ST, LUMBERTON, NC 28358
- **Mailing address phone:** (910) 737-3147
- **Mailing address fax:** (910) 671-5538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/22/2014
- **Last updated:** 12/22/2014