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

Southeastern Speciality Clinic

Organization Physician Assistant · NPI 1861742462

Southeastern Speciality Clinic is a Physician Assistant in Dunn, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.

Licensed in
NC
In the registry since
2012

Practice location Address checks out

520 Erwin Rd
Dunn, NC 28334
Phone: (910) 292-2066
Fax: (910) 292-2091
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence NC0726414 (NC)

Record details

NPI number1861742462
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theresa Clarke — Ceo · (910) 292-2066
NPI enumeratedSeptember 12, 2012
Last updated in NPPESSeptember 12, 2012
Mailing address520 Erwin Road, Dunn, NC 28334

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