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Organization
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Active
Organization
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Active
Other names
Southeastern Ear Nose and Throat
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ERNEST BROWN (DIRECTOR)
(910) 671-5044
Entity
Organization
Contact information
Practice address
4303 LUDGATE ST, LUMBERTON, NC 28358-2460
(910) 738-4226
(910) 738-8844
Mailing address
2600 N ELM ST, LUMBERTON, NC 28358-3011
(910) 671-5290
(910) 738-3764
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
H0064
NC
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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