| Southeastern Healthcare Centers Pc | |
|
2307 N College Rd Wilmington NC 28405-6427 | |
| (910) 392-1488 | |
| (910) 392-1489 |
| Full Name | Southeastern Healthcare Centers Pc |
|---|---|
| Speciality | Chiropractor |
| Location | 2307 N College Rd, Wilmington, North Carolina |
| Authorized Official Name and Position | Maurice V. Horton (OWNER) |
| Authorized Official Contact | 9103921488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Healthcare Centers Pc 2307 N College Rd Wilmington NC 28405-6427 Ph: (910) 392-1488 | Southeastern Healthcare Centers Pc 2307 N College Rd Wilmington NC 28405-6427 Ph: (910) 392-1488 |
| NPI Number | 1730141599 |
|---|---|
| Provider Enumeration Date | 04/05/2006 |
| Last Update Date | 02/12/2013 |
| Medicare PECOS PAC ID | 0648173054 |
|---|---|
| Medicare Enrollment ID | O20040131000157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730141599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Donald A Crouchley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1982606679 PECOS PAC ID: 7012805948 Enrollment ID: I20040310000820 |
| Provider Name | Arian G Kelley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578664439 PECOS PAC ID: 3870585268 Enrollment ID: I20040402001318 |
| Provider Name | Melvin E Raby |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1740290493 PECOS PAC ID: 2062471592 Enrollment ID: I20041008000795 |
| Provider Name | Andre F Santangelo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1649218843 PECOS PAC ID: 8224096672 Enrollment ID: I20050110000077 |
| Provider Name | James J Miller |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609810654 PECOS PAC ID: 6507861218 Enrollment ID: I20060930000019 |
| Provider Name | Agnes R Freeman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083616825 PECOS PAC ID: 9335218098 Enrollment ID: I20080521000108 |
| Provider Name | Hobart S Cook |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841292513 PECOS PAC ID: 2365576451 Enrollment ID: I20100811000250 |
| Provider Name | Jason C Argo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1598025405 PECOS PAC ID: 7618123704 Enrollment ID: I20120806000218 |
| Provider Name | Frank A Leray |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417250465 PECOS PAC ID: 8729266366 Enrollment ID: I20121128000235 |
| Provider Name | William Jordan Rogers |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366131070 PECOS PAC ID: 5799133534 Enrollment ID: I20231205000028 |
| Provider Name | Jacob David Lewis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841061793 PECOS PAC ID: 3375988439 Enrollment ID: I20240228002164 |
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