# SEYMOUR JOHNSON MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 4TH MEDGRP-SEYMOUR JOHNSON
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831173558
- **Legal business name:** 4TH MEDGRP-SEYMOUR JOHNSON
- **Authorized official:** WILLIAM CONDON (DHA UBO)
- **Authorized official phone:** (240) 401-3643

## Contact information

- **Practice address:** 2803 MEDICAL CAMPUS DRIVE, SEYMOUR JOHNSON AFB, NC 27531-2310
- **Practice address phone:** (919) 722-8257
- **Mailing address:** 2803 MEDICAL CAMPUS DRIVE, SEYMOUR JOHNSON AFB, NC 27531
- **Mailing address phone:** (919) 722-8257

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | NC | Yes |
| 261QM1101X | Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | — | NC | — |
| 332000000X | Military/U.S. Coast Guard Pharmacy | — | — | — |

## Other

- **Enumeration date:** 12/06/2005
- **Last updated:** 09/25/2026