Organization
SOUTHEASTERN AMBULATORY SURGERY CENTER, LLC
Active
Other names
The Surgery Center at Southeastern Health Park
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA REVELS LOCKLEAR MBA (BUSINESS OFFICE MANAGER)
(910) 887-2361
Entity
Organization
Contact information
Practice address
4901 DAWN DR, SUITE 1100, LUMBERTON, NC 28360-8207
(910) 887-2361
(910) 887-2370
Mailing address
4901 DAWN DR, SUITE 1100, LUMBERTON, NC 28360-8207
(910) 887-2361
(910) 887-2370
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NC
Other
Enumeration date
07/31/2014
Last updated
10/09/2014
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