Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southeastern Medical Group, LLC

Organization Specialist · NPI 1093729386

Southeastern Medical Group, LLC is a Specialist in Lexington, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

609 S Lake Dr Ste 1
Lexington, SC 29072-4119
Phone: (803) 957-0770
Fax: (803) 957-0909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 17764 (SC)

Record details

NPI number1093729386
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nowamagbe Omoigui — Physician · (803) 957-0770
NPI enumeratedJuly 29, 2006
Last updated in NPPESMay 21, 2020
Mailing address609 South Lake Dr, Ste 1, Lexington, SC 29072-4119

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