Organization · Type 2 NPI
Southeastern Regional Physician Services
Rural Health Clinic/Center · Maxton, NC
NPI number
1356767669
Active
Practice location
22401 Andrew Jackson Hwy
Maxton, NC 28364-6721
Fax (910) 844-3798
Mailing address
2600 N Elm St
Lumberton, NC 28358-3011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | H0064 (NC) |
| Primary Care Clinic/Center | 261QP2300X | H0064 (NC) |
| Rural Health Clinic/Center Primary | 261QR1300X | H0064 (NC) |
Rural Health Clinic/Center: Definition to come...
3 other providers at this address
Other rural health clinic/center providers in Maxton
About NPI 1356767669
Southeastern Regional Physician Services's National Provider Identifier is 1356767669, issued on Mar 11, 2014. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Maxton, NC. The record was last updated on Sep 26, 2016.