Organization
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Active
Other names
Southeastern Maternal Fetal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ELLA HUNT (CREDENTIALING SPECIALIST)
(910) 737-3147
Entity
Organization
Contact information
Practice address
4901 DAWN DR STE 1200, LUMBERTON, NC 28360-0004
(910) 671-4214
(910) 671-4215
Mailing address
2002 N CEDAR ST STE B, LUMBERTON, NC 28358-3926
(910) 272-3048
(910) 738-3764
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
10/08/2020
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