SOUTHEASTERN REGIONAL PHYSICIAN SERVICES NPI 1407281082

NPI Information

  • NPI: 1407281082
  • Provider Name: SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
  • Classification: Neurological Surgery - 207T00000X
  • Entity Type: Organization
  • Doing Business As: SOUTHEASTERN SPINE & PAIN CLINIC
  • Address: 4901 DAWN DR STE 3300
    LUMBERTON, NC
    ZIP 28360
  • Phone: (910) 671-9298

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NPI Details

SOUTHEASTERN REGIONAL PHYSICIAN SERVICES is a neurological surgery in Lumberton, NC. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. SOUTHEASTERN REGIONAL PHYSICIAN SERVICES NPI is 1407281082. The provider is registered as an organization entity type.
The provider Is Doing Business As Southeastern Spine & Pain Clinic.

The provider's business location address is:

4901 DAWN DR STE 3300
LUMBERTON, NC
ZIP 28360-288
Phone: (910) 671-9298
Fax: (910) 671-4850

The provider's authorized official is Fordham 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 9/13/2013 and was last updated on 10/8/2020.

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
1261QP3300XClinic/CenterPainH0064NORTH CAROLINANo
2207T00000XNeurological SurgeryH0064NORTH CAROLINAYes

What is NPI?

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This page was last updated on: 11/21/2025

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