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

Southeastern Regional Physician Services

Organization Family Medicine Physician · NPI 1356767669

Southeastern Regional Physician Services is a Family Medicine Physician in Maxton, North Carolina. Licensed in North Carolina. Registered with an NPI since 2014.

Licensed in
NC
In the registry since
2014
Specialties on file
3

Practice location Address checks out

22401 Andrew Jackson Hwy
Maxton, NC 28364-6721
Phone: (910) 844-2004
Fax: (910) 844-3798
Show map & directions

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

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X · Licence H0064 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence H0064 (NC)
Primary Care Clinic/Center Taxonomy 261QP2300X · Licence H0064 (NC)

Record details

NPI number1356767669
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fordham Britt — Director · (910) 671-5026
Other names Southeastern Medical Clinic Maxton
NPI enumeratedMarch 11, 2014
Last updated in NPPESSeptember 26, 2016
Mailing address2600 N Elm St, Lumberton, NC 28358-3011

Other providers in Maxton