institution
Southeastern Orthopedics Sports Medicine & Shoulder Center Pa
Multi-Specialty Clinic/Center in Raleigh, North Carolina
NPI 1053367615

Southeastern Orthopedics Sports Medicine & Shoulder Center Pa is a Multi-Specialty Clinic/Center based in Raleigh, NC and is specialized in Multi-Specialty. Southeastern Orthopedics Sports Medicine & Shoulder Center Pa practices in Raleigh, NC. The NPI Number for Southeastern Orthopedics Sports Medicine & Shoulder Center Pa is 1053367615 and holds a License No. (North Carolina).

The current practice location address for Southeastern Orthopedics Sports Medicine & Shoulder Center Pa is 3404 Wake Forest Rd, Raleigh, NC and can be reached out via phone at 919-256-1511 and via fax at 919-256-1530.

Location: 3404 Wake Forest Rd, Raleigh, NC, 27609-7341
institution
Provider Profile Details
NPI Number
1053367615
Provider Name
Southeastern Orthopedics Sports Medicine & Shoulder Center Pa
Credential
Provider Entity Type
Organization
Address
3404 Wake Forest Rd, Raleigh, NC, 27609-7341
Phone Number
919-256-1511
Fax Number
919-256-1530
Provider Enumeration Date
05/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
154156200 01 US DEPT OF LABOR
89015W4 01 NC MEDICAID
015W4 01 NC BCBS
institution
Provider Business Practice Location Address Details
Address
3404 Wake Forest Rd
City
State
Zip
27609-7341
Phone Number
919-256-1511
Fax Number
919-256-1530
person
Provider Business Mailing Address Details
Address
3404 Wake Forest Rd
City
State
Zip
27609-7341
Phone Number
919-256-1511
Fax Number
919-256-1530
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
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Definition
Definition to come...
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