Organization
STERLING EMERGENCY SERVICES OF THE SOUTHEAST, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J BUNKER (CEO/PRESIDENT)
(904) 805-1300
Entity
Organization
Contact information
Practice address
612 MOCKSVILLE AVE, SALISBURY, NC 28144-2732
(704) 210-5000
(904) 805-1456
Mailing address
PO BOX 532664, ATLANTA, GA 30353-2664
(904) 805-1300
(904) 805-1456
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0766K
BLUE CROSS & BLUE SHIELD
NC
05
—
890766K
—
NC
Enumeration date
05/03/2006
Last updated
04/20/2008
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