SOUTHEASTERN HEALTH PHYSICIAN SERVICES LUMBERTON, NC

Contact Information

SOUTHEASTERN HEALTH PHYSICIAN SERVICES

725 OAKRIDGE BLVD. SUITE B2
LUMBERTON, NC 28358

Phone: 910-671-0052
Fax: 910-671-9157
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	General Practice	208D00000X	99	Physician/Undefined Physician type[6]

Indicates primary specialty

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NPI Profile & details for SOUTHEASTERN HEALTH PHYSICIAN SERVICES · (Female)

NPI #	`1578957346`
Status	Active
Credentials
Entity	Individual
Enumeration date	03/19/2015
Last updated	03/19/2015 - About 11 years ago
Sole proprietor ¹	Not specified
Identifiers	Not Available
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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