Organization
SOUTHEASTERN ORTHOPAEDIC SPECIALISTS, PA
Active
Other names
Sports Medicine & Joint Replacement of Greensboro
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN D LUCEY M.D. (PARTNER)
(336) 333-6443
Entity
Organization
Contact information
Practice address
148 POINTE SOUTH DR, RANDLEMAN, NC 27317-9520
(336) 799-4433
(336) 333-6441
Mailing address
201 E WENDOVER AVE, GREENSBORO, NC 27401-1205
(336) 333-6443
(336) 333-6441
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
BL 6497209
NC
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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