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SOUTHEASTERN HEALTHCARE CENTER PC NPI 1982666749


NPI Information

NPI: 1982666749
Provider Name: SOUTHEASTERN HEALTHCARE CENTER PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2595 S 17TH ST
WILMINGTON, NC
ZIP 28401
Phone: (910) 791-2788
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SOUTHEASTERN HEALTHCARE CENTER PC is a chiropractor in Wilmington, NC. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. SOUTHEASTERN HEALTHCARE CENTER PC NPI is 1982666749. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2595 S 17TH ST
WILMINGTON, NC
ZIP 28401-765
Phone: (910) 791-2788
Fax: (910) 791-2711

The provider's authorized official is Maurice V. Horton .
The authorized official title is Owner and has the following contact phone number (910) 392-1488.

The enumeration date for this NPI number is 4/5/2006 and was last updated on 2/12/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorYes
2207Q00000XFamily MedicineNo

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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