SOUTHEASTERN MEDICAL CLINIC NORTH LUMBERTON – NPI #1578957346
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

SOUTHEASTERN MEDICAL CLINIC NORTH LUMBERTON is a provider located in LUMBERTON, NC. NPPES has assigned the NPI number 1578957346 to SOUTHEASTERN MEDICAL CLINIC NORTH LUMBERTON on March 19, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTHEASTERN MEDICAL CLINIC NORTH LUMBERTON” is a dba name, the actual legal business name for this organization is SOUTHEASTERN HEALTH PHYSICIAN SERVICES. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHEASTERN MEDICAL CLINIC NORTH LUMBERTON below.

NPI Profile for
SOUTHEASTERN HEALTH PHYSICIAN SERVICES

NPI Number
1578957346
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHEASTERN HEALTH PHYSICIAN SERVICES
Doing Business As (dba): SOUTHEASTERN MEDICAL CLINIC NORTH LUMBERTON
Primary location
725 OAKRIDGE BLVD. SUITE B2
LUMBERTON, NC 28358
Phone: (910) 671-0052 Fax: (910) 671-9157
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
FORDHAM BRITT
DIRECTOR
Phone: (910) 671-5026
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.