Organization
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Active
Other names
Southeastern Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
FORDHAM B BRITT (DIRECTOR)
(910) 671-5026
Entity
Organization
Contact information
Practice address
4311 LUDGATE ST, LUMBERTON, NC 28358-2460
(910) 671-1981
(910) 671-7273
Mailing address
2600 N ELM ST, LUMBERTON, NC 28358-3011
(910) 272-3051
(910) 738-3764
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H0064
NC
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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