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

Southeastern Orthopedics Sports Medicine & Shoulder Center PA

Organization Multi-Specialty Clinic/Center · NPI 1053367615

Southeastern Orthopedics Sports Medicine & Shoulder Center PA is a Multi-Specialty Clinic/Center in Raleigh, North Carolina. Registered with an NPI since 2006.

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

3404 Wake Forest Rd Ste 201
Raleigh, NC 27609-7341
Phone: (919) 256-1511
Fax: (919) 256-1530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1053367615
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Speer — President · (919) 256-1511
NPI enumeratedMay 25, 2006
Last updated in NPPESJune 11, 2014
Mailing address3404 Wake Forest Rd, Ste 201, Raleigh, NC 27609-7341

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