Southeastern Psychiatric Providers, LLC
NPI #1811492853 in Leland, North Carolina
Provider Information
- NPI Number
- 1811492853
- Entity Type
- Organization
- Organization Name
- Southeastern Psychiatric Providers, LLC
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Mar 29, 2018
- Last Updated
- Mar 29, 2018
Practice Location
- Address
- 2050 MERCANTILE DR APT C9
- City
- Leland
- State
- North Carolina
- ZIP Code
- 28451-4053
- Phone
- (910) 370-2500
Authorized Official
- Name
- BENJAMIN DONALDSON, PA-C
- Title
- OWNER/AUTHORIZED
- Phone
- (408) 364-6160
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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