Organization · Type 2 NPI

Southeastern Regional Physician Services

General Practice Physician · Lumberton, NC

NPI number 1477928760 Active

Practice location

500 W 27th St
Lumberton, NC 28358-3021

Call (910) 272-9675 Map

Fax (910) 272-9276

Mailing address

2002 N Cedar St Ste B
Lumberton, NC 28358-3926

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed
Primary Care Nurse Practitioner	363LP2300X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

3 other providers at this address

Other general practice physician providers in Lumberton

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NPI record

NPI: 1477928760
Entity type: Organization (Type 2)
Issued: Dec 11, 2015
Last updated: Oct 20, 2020
Status: Active

Other names

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Southeastern Occupational Healthworks · doing business as
Southeastern Occupational Healthworks · doing business as

Authorized official

Mr. Raymond Henley
Director
(910) 737-3147

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1477928760

Southeastern Regional Physician Services's National Provider Identifier is 1477928760, issued on Dec 11, 2015. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Lumberton, NC. The record was last updated on Oct 20, 2020.