Provider Demographics
NPI:1215375944
Name:SOUTHEASTERN PAPER GROUP
Entity Type:Organization
Organization Name:SOUTHEASTERN PAPER GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:
Authorized Official - Last Name:CONNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-574-0440
Mailing Address - Street 1:50 OLD BLACKSTOCK RD
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29301-5571
Mailing Address - Country:US
Mailing Address - Phone:864-574-0440
Mailing Address - Fax:864-576-3828
Practice Address - Street 1:50 OLD BLACKSTOCK RD
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29301-5571
Practice Address - Country:US
Practice Address - Phone:864-574-0440
Practice Address - Fax:864-576-3828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies