# SOUTHEASTERN TRANSITION AND PRIMARY CARE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1881083962
- **Legal business name:** SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
- **Authorized official:** MRS. ANGELA WILKINS PARNELL (CREDENTIALING SPECALIST)
- **Authorized official phone:** (910) 737-3147

## Contact information

- **Practice address:** 2901 N ELM ST, LUMBERTON, NC 28358-2982
- **Practice address phone:** (910) 737-3147
- **Practice address fax:** (910) 671-5538
- **Mailing address:** 2901 N ELM ST, LUMBERTON, NC 28358-2982
- **Mailing address phone:** (910) 737-3147
- **Mailing address fax:** (910) 671-5538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/13/2015
- **Last updated:** 01/13/2015