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SOUTHEASTERN SPECIALITY CLINIC
NPI 1861742462
Physician Assistant in Dunn, NC

Active since September 12, 2012
520 ERWIN ROAD, DUNN, NC 28334(910) 292-2066(910) 292-2091 Get Directions Write a Review

NPPES record last updated: September 12, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Southeastern Speciality Clinic NPPES

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

SOUTHEASTERN SPECIALITY CLINIC (NPI 1861742462) is a healthcare organization registered as a physician assistant in Dunn, North Carolina and active in the NPI registry since September 2012. The organization lists Theresa S Clarke, Ceo, as its authorized official.

NPPES Registry Identity

NPI1861742462
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameSOUTHEASTERN SPECIALITY CLINIC
Location Address520 ERWIN ROADDunn, NC 28334
Mailing Address520 Erwin RoadDunn, NC 28334 · (910) 292-2066 · Fax (910) 292-2091
Phone(910) 292-2066
Fax(910) 292-2091
Organization SubpartNo
Authorized OfficialTheresa S ClarkeCeo · (910) 292-2066
Enumeration DateSeptember 12, 2012
✔ NPI 1861742462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · NC0726414
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

520 ERWIN ROAD, Dunn, NC 28334
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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

What is SOUTHEASTERN SPECIALITY CLINIC's NPI number?

The NPI number assigned to this healthcare provider is 1861742462, enumerated as an "organization" on September 12, 2012.

Where is the provider located?

The provider is located at 520 ERWIN ROAD DUNN, NC 28334 and the phone number is (910) 292-2066.

What is the provider's specialty?

Physician Assistant with taxonomy code 363A00000X.