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SOUTHEASTERN HEALTHCARE OF JACKSONVILLE, PC
NPI 1316090889
Chiropractor in Jacksonville, NC

Active since January 19, 2007
431 WESTERN BLVD, SUITE E, JACKSONVILLE, NC 28546(910) 355-6000(910) 355-7533 Get Directions Write a Review

NPPES record last updated: October 1, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southeastern Healthcare Of Jacksonville, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEASTERN HEALTHCARE OF JACKSONVILLE, PC (NPI 1316090889) is a healthcare organization registered as a chiropractor in Jacksonville, North Carolina and active in the NPI registry since January 2007. The organization lists Eliza R. Gray, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1316090889
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSOUTHEASTERN HEALTHCARE OF JACKSONVILLE, PC
Location Address431 WESTERN BLVD, SUITE EJacksonville, NC 28546-6823
Mailing Address2595 S 17th StWilmington, NC 28401-7748 · (910) 791-2788
Phone(910) 355-6000
Fax(910) 355-7533
Organization SubpartYesParent: Southeastern Healthcare Of Jacksonville
Authorized OfficialEliza R. GrayOffice Manager · (910) 791-2788
Enumeration DateJanuary 19, 2007
Last NPPES UpdateOctober 1, 2007
✔ NPI 1316090889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NC · 3421
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
431 WESTERN BLVD, Jacksonville, NC 28546
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeastern Healthcare Of Jacksonville, PC's NPI number?

The NPI number for Southeastern Healthcare Of Jacksonville, PC is 1316090889. It was assigned to this organization in the NPPES registry on January 19, 2007.

Where is Southeastern Healthcare Of Jacksonville, PC located?

Southeastern Healthcare Of Jacksonville, PC is located at 431 Western Blvd Suite E, Jacksonville, NC 28546. The listed phone number is (910) 355-6000.

What is Southeastern Healthcare Of Jacksonville, PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Southeastern Healthcare Of Jacksonville, PC was last updated on October 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.