Organization
SOUTHEASTERN TRANSITION AND PRIMARY CARE CLINIC
Active
Parent organization
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Authorized official
MRS. ANGELA WILKINS PARNELL (CREDENTIALING SPECALIST)
(910) 737-3147
Entity
Organization
Contact information
Practice address
2901 N ELM ST, LUMBERTON, NC 28358-2982
(910) 737-3147
(910) 671-5538
Mailing address
2901 N ELM ST, LUMBERTON, NC 28358-2982
(910) 737-3147
(910) 671-5538
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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