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Contact Information

SOUTHEASTERN HEALTH PHYSICIAN SERVICES
2634 N ELM ST. SUITE G
LUMBERTON, NC28358
 Phone: 910-618-0655
 Fax: 910-272-1189
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for SOUTHEASTERN HEALTH PHYSICIAN SERVICES

NPI # 1346632593
LBN Legal business name SOUTHEASTERN HEALTH PHYSICIAN SERVICES
Authorized official FORDHAM BRITT - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/25/2015
Last updated 10/28/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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