Organization
SOUTHERN PULMONARY CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY SEELEY (OFFICE COORDINATOR)
(704) 868-3411
Entity
Organization
Contact information
Practice address
900 COX RD, STE B, GASTONIA, NC 28054-3460
(704) 868-3411
(704) 865-9722
Mailing address
PO BOX 1886, GASTONIA, NC 28053-1886
(704) 868-3411
(704) 865-9722
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8930791
—
NC
Enumeration date
10/12/2006
Last updated
09/11/2025
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