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

Southeastern Medical Group, LLC

Organization Specialist · NPI 1093729386

Southeastern Medical Group, LLC provides Specialist services in Lexington, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

609 S Lake Dr Ste 1
Lexington, SC 29072-4119
Phone: (803) 957-0770
Fax: (803) 957-0909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 17764 (SC)

Record details

NPI number1093729386
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nowamagbe Omoigui — Physician · (803) 957-0770
NPI enumeratedJuly 29, 2006
Last updated in NPPESMay 21, 2020
Mailing address609 South Lake Dr, Ste 1, Lexington, SC 29072-4119

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