Organization
SOUTHEASTERN INTEGRATED CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL Z. MORMAN (CEO)
(704) 294-1075
Entity
Organization
Contact information
Practice address
68 THREE HUNTS DR STE A, PEMBROKE, NC 28372-7319
(910) 522-0408
(704) 931-9199
Mailing address
68 THREE HUNTS DR STE A, PEMBROKE, NC 28372-7319
(910) 522-0408
(704) 931-9199
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
NC
Other
Enumeration date
06/23/2016
Last updated
02/17/2017
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