Southeastern Orthopaedic Specialists, PA
Organization Active NPI Orthopaedic Surgery Physician · Randleman, NC
NPI 1922431535 · NPPES record last updated Aug 19, 2013
Key facts
- NPI
- 1922431535
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- BL 6497209 (NC)
- Legal business name
- SOUTHEASTERN ORTHOPAEDIC SPECIALISTS, PA
- Practice address
- 148 Pointe South Dr
Randleman, NC 27317-9520 - Phone
- (336) 799-4433
- Fax
- (336) 333-6441
- NPI assigned
- Aug 19, 2013
- Organization subpart
- No
Authorized official
- Name
- Stephen D Lucey, M.D.
- Title
- Partner
- Phone
- (336) 333-6443
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Southeastern Orthopaedic Specialistspa
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | BL 6497209 | NC | Yes |
Addresses
Primary practice location
148 Pointe South Dr
Randleman, NC 27317-9520
Mailing address
201 E Wendover Ave
Greensboro, NC 27401-1205
Phone (336) 333-6443
Other names
- Sports Medicine & Joint Replacement of Greensboro
Other providers in Randleman, NC
- Carter Lee Shotwell
- David G. Skowronek
- John James Slatosky Jr.
- Ryan E Snipes
- Jennifer Shaw Snotherly
- Specialty Care Transportation
- Paul Taylor
- Natasha K Tenner
- Therapeutic Alternatives Inc
- Therapeutic Alternatives Inc
All providers in Randleman, NC · Orthopaedic Surgery 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 Aug 19, 2013. 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.