| Organization Name: | SOUTHEASTERN HEALTH PHYSICIAN SERVICES |
| NPI Number: | 1073906228 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FORDHAM B BRITT (DIRECTOR) |
| Mailing Address: | 1249 Chicken Foot Rd Hope Mills |
| State: | NC US |
| Postal Code: | 283487525 |
| Phone Number: | 9104231278 |
| Fax Number: | 9102727141 |
| NPI Enumeration Date: | 03/12/2015 |
| NPI Last Update Date: | 03/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |