| Southerastern Health Mall Clinic | |
|
2934 North Elm St. Suite B Lumberton NC 28358-2981 | |
| (910) 272-1175 | |
| (910) 272-1176 |
| Full Name | Southerastern Health Mall Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 2934 North Elm St., Lumberton, North Carolina |
| Authorized Official Name and Position | Fordham B Britt (DIRECTOR) |
| Authorized Official Contact | 9106715026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southerastern Health Mall Clinic 2002 N Cedar St Ste B Lumberton NC 28358-3926 Ph: (910) 272-3048 | Southerastern Health Mall Clinic 2934 North Elm St. Suite B Lumberton NC 28358-2981 Ph: (910) 272-1175 |
| NPI Number | 1043680630 |
|---|---|
| Provider Enumeration Date | 09/25/2015 |
| Last Update Date | 10/28/2020 |
| Certification Date | 10/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043680630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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