Organization
SEAGROVE MEDICAL CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANJEET KAUR ACHREJA M.D. (OWNER)
(336) 873-7248
Entity
Organization
Contact information
Practice address
614 N BROAD ST, SEAGROVE, NC 27341-8613
(336) 873-7248
(336) 873-7238
Mailing address
614 N BROAD ST, SEAGROVE, NC 27341-8613
(336) 873-7248
(336) 873-7238
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
29458
NC
261QM1300X
Multi-Specialty Clinic/Center
63868
NC
261QR1300X
Rural Health Clinic/Center
Primary
29458
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107Q
PROVIDER NUMBER
NC
05
—
343962A
—
NC
Enumeration date
06/02/2006
Last updated
11/27/2013
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