Southeastern Medical Group, LLC

NPI #1093729386 in Lexington, South Carolina

Provider Information

NPI Number: 1093729386
Entity Type: Organization
Organization Name: Southeastern Medical Group, LLC
Primary Specialty: Specialist
Enumeration Date: Jul 29, 2006
Last Updated: May 21, 2020

Practice Location

Address: 609 SOUTH LAKE DR
Address 2: STE 1
City: Lexington
State: South Carolina
ZIP Code: 29072-4119
Phone: (803) 957-0770

Authorized Official

Name: DR. NOWAMAGBE A OMOIGUI, MD
Title: PHYSICIAN
Phone: (803) 957-0770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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