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

Southeastern Medical Group, PA

Organization Internal Medicine Physician · NPI 1265479091

Southeastern Medical Group, PA is an Internal Medicine Physician in Wilmington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

637 S Kerr Ave
Wilmington, NC 28403-8423
Phone: (910) 799-1810
Fax: (910) 452-2571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 16755 (NC)

Record details

NPI number1265479091
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Wilson — Office Manager · (910) 799-1810
NPI enumeratedJune 1, 2006
Last updated in NPPESAugust 22, 2020
Mailing address637 S Kerr Ave, Wilmington, NC 28403-8423

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