Southeastern Health Physician Services
Organization Active NPI General Practice Physician · Elizabethtown, NC
NPI 1386037539 · NPPES record last updated Mar 12, 2015
Key facts
- NPI
- 1386037539
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- SOUTHEASTERN HEALTH PHYSICIAN SERVICES
- Practice address
- 1921 White Lake Dr
Elizabethtown, NC 28337-6236 - Phone
- (910) 862-6491
- Fax
- (910) 862-7641
- NPI assigned
- Mar 12, 2015
- Organization subpart
- No
Authorized official
- Name
- Fordham B Britt
- Title
- Director
- Phone
- (910) 671-5026
Corporate family (same tax ID) 37
National Provider Directory
- Tax ID family
- Southeastern ASC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
1921 White Lake Dr
Elizabethtown, NC 28337-6236
Mailing address
1921 White Lake Dr
Elizabethtown, NC 28337-6236
Phone (910) 862-6491
Other names
- Southeastern Medical Clinic White Lake
Other providers in Elizabethtown, NC
- Schultz Ellis Chiropractic Center
- Harvey C Schultz Jr.
- Shelby Stephenson MD
- James Smith
- Joshua Smith
- Southern Professional Counseling Services, LLC
- Sprout Educational Assessment & Consulting Services
- Shakonda Lashawn Strayhorn
- Sunbridge Retirement Care Associates LLC
- Suzanne S Huggins
All providers in Elizabethtown, NC · General Practice Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.