Organization
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Active
Other names
Southeastern Medical Clinic Tanglewood
Organization subpart
No
Provider details
NPI number
Authorized official
ELLA HUNT (CREDENTIALING)
(910) 737-3147
Entity
Organization
Contact information
Practice address
2901 N ELM ST, LUMBERTON, NC 28358-2982
(910) 671-5270
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
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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