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Contact Information

SOUTHEASTERN PATHOLOGY ASSOCIATES PA
300 W 27TH STREET
LUMBERTON, NC28359
 Phone: 910-671-5189
 Fax: 910-671-5085
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for SOUTHEASTERN PATHOLOGY ASSOCIATES PA · (Female)

NPI Number 1609825710
Status Active
Credentials
Entity Individual
Enumeration date 05/08/2006
Last updated 09/06/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 9300163
  • NC Medicaid 8902710
  • NC Other 02710 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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