Organization
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Active
Other names
Southeastern Weight Loss Center
Organization subpart
No
Provider details
NPI number
Authorized official
FORDHAM B. BRITT (DIRECTOR)
(910) 671-5026
Entity
Organization
Contact information
Practice address
2934 N ELM ST, SUITE F, LUMBERTON, NC 28358-2986
(910) 608-0307
(910) 608-2112
Mailing address
2600 N ELM ST, LUMBERTON, NC 28358-3011
(910) 272-3051
(910) 738-3764
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
H0064
NC
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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