Organization
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Active
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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