Organization
SOUTHEASTERN HEALTH PHYSICIAN SERVICES
Active
Other names
Southeastern Medical Clinic White Lake
Organization subpart
No
Provider details
NPI number
Authorized official
FORDHAM B BRITT (DIRECTOR)
(910) 671-5026
Entity
Organization
Contact information
Practice address
1921 WHITE LAKE DR, ELIZABETHTOWN, NC 28337-6236
(910) 862-6491
(910) 862-7641
Mailing address
1921 WHITE LAKE DR, ELIZABETHTOWN, NC 28337-6236
(910) 862-6491
(910) 862-7641
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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