Individual
SID HOSSEINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 272-1230
(910) 738-8230
Mailing address
450 COUNTRY CLUB RD, LUMBERTON, NC 28360-9494
(910) 272-1230
(910) 738-8230
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
200100152
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8912834
—
NC
Enumeration date
09/15/2006
Last updated
11/04/2009
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