DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHEASTERN SPECIALIST CLINIC

Active Organization

SOUTHEASTERN SPECIALIST CLINIC is a Specialist organization located in GASTONIA, North Carolina. NPI 1487632873 is currently active in the NPPES registry. Verify at CMS.

Specialist · GASTONIA, NC

Registration Details

NPI Number
1487632873
Provider Type
Organization
NPI Issued
Jan 5, 2006 (20.628860805267 yrs)
Last Updated
Aug 22, 2020
License
19633 (NC)

Practice Information

Address
825 MAJESTIC CT
SUITE F
GASTONIA, NC, 280545186
Browse NC providers · Browse ZIP 28054
Phone
7048678975
Fax
7048678353
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.