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Organization

SOUTHEAST WOMEN'S CENTER PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHELLIE SIMPKINS DUNCAN (OFFICE MANAGER)
(919) 938-4040
Entity
Organization

Contact information

Practice address
300 S 3RD ST, SUITE C, SMITHFIELD, NC 27577-4575
(919) 938-4040
(919) 938-4075
Mailing address
300 S 3RD ST, SUITE C, SMITHFIELD, NC 27577-4575
(919) 938-4040
(919) 938-4075

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89015W1
NC
Enumeration date
03/21/2006
Last updated
11/08/2010
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