Organization
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Active
Other names
Southeastern Medical Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
FORDHAM B. BRITT (DIRECTOR)
(910) 671-5026
Entity
Organization
Contact information
Practice address
725 OAKRIDGE BLVD STE A3, LUMBERTON, NC 28358-2351
(910) 738-1141
(910) 738-6011
Mailing address
2002 N CEDAR ST STE B, LUMBERTON, NC 28358-3926
(910) 272-3048
(910) 738-3764
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
H0064
NC
Other
Enumeration date
10/24/2013
Last updated
01/25/2021
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