Organization
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Active
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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