Southeastern Medical Group, P.A.

LBN: Southeastern Medical Group, P.A.
Southeastern Medical Group, P.A. is an health care organization with primary practice located at 637 S Kerr Ave , Wilmington NC 28403-8423. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Southeastern Medical Group, P.A. can be contacted via phone (910) 799-1810, or through Wilson, Patricia Mayes via phone (910) 799-1810.

Contact Information

Primary practice address
637 S Kerr Ave Wilmington NC 28403-8423
Phone: (910) 799-1810
Fax: (910) 452-2571
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Patricia Mayes
Phone: (910) 799-1810

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 16755 North Carolina

Profile Details

NPI number 1265479091
LBN Legal business name Southeastern Medical Group, P.A.
DBA Doing business as
Authorized official Wilson, Patricia Mayes
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265479091 NPPES
North Carolina Other 02701 BLUE CROSS BLUE SHIELD
North Carolina MEDICAID 8902701 BLUE CROSS BLUE SHIELD

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