Organization
SOUTHEASTERN ASC
Active
Parent organization
SOUTHEASRERN PHYSICIANS SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHEASRERN PHYSICIANS SERVICES
Authorized official
MRS. FORDHAM BRITT (DIRECTOR)
(910) 671-5026
Entity
Organization
Contact information
Practice address
2600 N ELM ST, LUMBERTON, NC 28358-3011
(910) 737-3147
(910) 671-5538
Mailing address
2600 N. ELM ST, LUMBERTON, NC 28358
(910) 737-3147
(910) 671-5538
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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