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

Southeastern Medical, PA

Organization Specialist · NPI 1730192626

Southeastern Medical, PA is a Specialist in Sunset Beach, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
2
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

830 Sunset Blvd N
Sunset Beach, NC 28468-4262
Phone: (910) 575-5750
Fax: (910) 575-5751
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 96-01376 (NC)
Specialist Taxonomy 174400000X · Licence 10022 (NC)

Record details

NPI number1730192626
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Henry Lepore — Owner · (910) 575-5750
NPI enumeratedAugust 14, 2006
Last updated in NPPESSeptember 27, 2010
Mailing address830 Sunset Blvd N, Sunset Beach, NC 28468-4262