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Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Other names
Southeastern Anesthesiology Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES T. JOHNSON III (VP CFO)
(910) 671-5090
Entity
Organization
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5290
(910) 671-8512
Mailing address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5290
(910) 671-8512
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
09/30/2011
Last updated
07/28/2016
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