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SOUTHEASTERN REGIONAL PHYSICIAN SERVICES NPI 1356767669


NPI Information

NPI: 1356767669
Provider Name: SOUTHEASTERN REGIONAL PHYSICIAN SERVICES

Doing Business As: SOUTHEASTERN MEDICAL CLINIC MAXTON

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
22401 ANDREW JACKSON HWY
MAXTON, NC
ZIP 28364
Phone: (910) 844-2004
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SOUTHEASTERN REGIONAL PHYSICIAN SERVICES is a rural health clinic center in Maxton, NC. SOUTHEASTERN REGIONAL PHYSICIAN SERVICES NPI is 1356767669. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southeastern Medical Clinic Maxton.

The provider's business location address is:

22401 ANDREW JACKSON HWY
MAXTON, NC
ZIP 28364-721
Phone: (910) 844-2004
Fax: (910) 844-3798

The provider's authorized official is Fordham B Britt .
The authorized official title is Director and has the following contact phone number (910) 671-5026.

The enumeration date for this NPI number is 3/11/2014 and was last updated on 9/26/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineH0064NORTH CAROLINANo
2261QP2300XClinic/CenterPrimary CareH0064NORTH CAROLINANo
3261QR1300XClinic/CenterRural HealthH0064NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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