Organization
SOUTHEASTERN HEART & VASCULAR CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD PITTMAN (EXECUTIVE DIRECTOR)
(336) 273-7900
Entity
Organization
Contact information
Practice address
1816 RICHARDSON DR, REIDSVILLE, NC 27320-5434
(336) 342-4446
(336) 342-7747
Mailing address
1816 RICHARDSON DR, REIDSVILLE, NC 27320-5434
(336) 342-4446
(336) 342-7747
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0129F
BCBS NC
NC
05
—
790129F
—
NC
Enumeration date
10/04/2006
Last updated
10/10/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us