Organization
SOUTHEASTERN NEPHROLOGY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MURDOCH HERION M.D. (MANAGING PARTNER)
(910) 343-9800
Entity
Organization
Contact information
Practice address
1302 MEDICAL CENTER DR, WILMINGTON, NC 28401
(910) 343-9800
(910) 343-8650
Mailing address
1302 MEDICAL CENTER DR, WILMINGTON, NC 28401-7503
(910) 343-9800
(910) 343-8650
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0227R
BC/BS NC GROUP
NC
05
—
890145Q
—
NC
05
—
89015CF
—
NC
05
—
890227R
—
NC
Enumeration date
05/16/2006
Last updated
07/18/2018
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