Organization
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Active
Other names
Southeastern Occupational Healthworks
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND HENLEY (DIRECTOR)
(910) 737-3147
Entity
Organization
Contact information
Practice address
500 W 27TH ST, LUMBERTON, NC 28358-3021
(910) 272-9675
(910) 272-9276
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
208D00000X
General Practice Physician
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
12/11/2015
Last updated
10/20/2020
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