SOUTHEASTERN NEPHROLOGY ASSOCIATES PLLC NPI 1104878347

NPI Information

NPI: 1104878347
Provider Name: SOUTHEASTERN NEPHROLOGY ASSOCIATES, PLLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
1302 MEDICAL CENTER DR
WILMINGTON, NC
ZIP 28401
Phone: (910) 343-9800
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SOUTHEASTERN NEPHROLOGY ASSOCIATES, PLLC is a nephrology internal medicine in Wilmington, NC. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. SOUTHEASTERN NEPHROLOGY ASSOCIATES, PLLC NPI is 1104878347. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1302 MEDICAL CENTER DR
WILMINGTON, NC
ZIP 28401
Phone: (910) 343-9800
Fax: (910) 343-8650

The provider's authorized official is John Murdoch Herion .
The authorized official title is Managing Partner and has the following contact phone number (910) 343-9800.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 7/18/2018.

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
1	207RN0300X	Internal Medicine	Nephrology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========005	OTHER	NORTH CAROLINA	WHITEVILLE TRICARE GROUP
2	=========	OTHER	NORTH CAROLINA	TRICARE WILMINGTON GROUP
3	890145Q	MEDICAID	NORTH CAROLINA
4	890227R	MEDICAID	NORTH CAROLINA
5	89015CF	MEDICAID	NORTH CAROLINA
6	=========004	OTHER	NORTH CAROLINA	TRICARE JACKSONVILLE GRP
7	0227R	OTHER	NORTH CAROLINA	BC/BS NC GROUP

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: 4/28/2024

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