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

Surgical Medical Clinic

Organization Surgery Physician · NPI 1417378779

Surgical Medical Clinic is a Surgery Physician in Burgaw, North Carolina. Licensed in North Carolina. Registered with an NPI since 2014.

Licensed in
NC
In the registry since
2014
Specialties on file
2

Practice location Address checks out

407 E Fremont St
Burgaw, NC 28425-0729
Phone: (910) 259-2161
Fax: (910) 259-7870
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 19763 (NC)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 5005024 (NC)

Record details

NPI number1417378779
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Naseem Nasrallah — Owner · (910) 259-2161
Other names Dr Naseem Nasrallah
NPI enumeratedJanuary 3, 2014
Last updated in NPPESJanuary 3, 2014
Mailing addressPo Box 729, Burgaw, NC 28425-0729