Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Surgical Medical Clinic

Organization Surgery Physician · NPI 1417378779

Surgical Medical Clinic provides Surgery Physician services 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 Not confirmed with CMS for 12 years — call before visiting
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