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Organization

SOUTHEASTERN REGIONAL PHYSICIAN SERVICES

Active
Other names
Southeastern Ear Nose and Throat
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL ERNEST BROWN (DIRECTOR)
(910) 671-5044
Entity
Organization

Contact information

Practice address
4303 LUDGATE ST, LUMBERTON, NC 28358-2460
(910) 738-4226
(910) 738-8844
Mailing address
2600 N ELM ST, LUMBERTON, NC 28358-3011
(910) 671-5290
(910) 738-3764

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
H0064
NC

Other

Enumeration date
02/05/2013
Last updated
02/05/2013
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