| Southeastern Medical Practice | |
|
4900 Fayetteville Rd Lumberton NC 28358-2110 | |
| (910) 739-8899 | |
| (910) 739-7174 |
| Full Name | Southeastern Medical Practice |
|---|---|
| Speciality | Internal Medicine |
| Location | 4900 Fayetteville Rd, Lumberton, North Carolina |
| Authorized Official Name and Position | Godfrey D Onime (PRESIDENT) |
| Authorized Official Contact | 9107398899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Medical Practice 4900 Fayetteville Rd Lumberton NC 28358-2110 Ph: (910) 739-8899 | Southeastern Medical Practice 4900 Fayetteville Rd Lumberton NC 28358-2110 Ph: (910) 739-8899 |
| NPI Number | 1770538555 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 06/07/2011 |
| Medicare PECOS PAC ID | 5597748277 |
|---|---|
| Medicare Enrollment ID | O20040611001445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770538555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 200201138 (North Carolina) | Primary |
| Provider Name | Tricia L Reich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841617321 PECOS PAC ID: 7416174719 Enrollment ID: I20140811001107 |
Southeastern Medical Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 Oakridge Blvd Ste A3, Lumberton, NC 28358 Phone: 910-738-1141 Fax: 910-738-6011 | |
Southeastern Regional Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2901 N Elm St, Lumberton, NC 28358 Phone: 910-671-5270 | |
Acme Medical Specialties, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4348 Fayetteville Rd, Lumberton, NC 28358 Phone: 910-739-5197 Fax: 910-739-5294 | |
Southerastern Health Mall Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2934 North Elm St., Suite B, Lumberton, NC 28358 Phone: 910-272-1175 Fax: 910-272-1176 | |
Pain Management Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4308 Ludgate St, Lumberton, NC 28358 Phone: 910-671-9298 Fax: 910-738-3764 | |
Southeastern Medical Clinic North Lumberton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 Oakridge Blvd, Suite B-2, Lumberton, NC 28358 Phone: 910-272-3051 Fax: 910-738-3764 | |
Integrity Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2116 N Cedar St, Lumberton, NC 28358 Phone: 910-674-3030 Fax: 910-674-3051 |