SOUTHEASTERN MEDICAL CLINIC WHITE LAKE
NPI 1386037539
General Practice in Elizabethtown, NC

Q: What is Southeastern Health Physician Services's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since March 12, 2015

1921 WHITE LAKE DR, ELIZABETHTOWN, NC 28337(910) 862-6491(910) 862-7641 Get Directions Write a Review

NPPES record last updated: March 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southeastern Medical Clinic White Lake NPPES

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

SOUTHEASTERN MEDICAL CLINIC WHITE LAKE (NPI 1386037539) is a healthcare organization registered as a general practice in Elizabethtown, North Carolina and active in the NPI registry since March 2015. The organization lists Fordham B Britt, Director, as its authorized official.

NPPES Registry Identity

NPI1386037539

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameSOUTHEASTERN HEALTH PHYSICIAN SERVICES

Location Address1921 WHITE LAKE DRElizabethtown, NC 28337-6236

Mailing Address1921 White Lake DrElizabethtown, NC 28337-6236 · (910) 862-6491 · Fax (910) 862-7641

Phone(910) 862-6491

Fax(910) 862-7641

Organization SubpartNo

Authorized OfficialFordham B BrittDirector · (910) 671-5026

Enumeration DateMarch 12, 2015

✔ NPI 1386037539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1921 WHITE LAKE DR, Elizabethtown, NC 28337

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Other Names 1

Doing Business AsSoutheastern Medical Clinic White Lake

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WHITE LAKE FAMILY PRACTICE, PLLC

Nurse Practitioner (Family)

1921 WHITE LAKE DR
ELIZABETHTOWN, NC 28337

Bladen County (910) 862-6491

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 Health Physician Services's NPI number?

The NPI number for Southeastern Health Physician Services is 1386037539. It was assigned to this organization in the NPPES registry on March 12, 2015. The provider is doing business as Southeastern Medical Clinic White Lake.

Where is Southeastern Health Physician Services located?

Southeastern Health Physician Services is located at 1921 White Lake Dr, Elizabethtown, NC 28337. The listed phone number is (910) 862-6491.

What is Southeastern Health Physician Services's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Southeastern Health Physician Services was last updated on March 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.