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Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Other names
Southeastern Urgent Care Lumberton
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES THOMAS JOHNSON III (VP)
(910) 671-5090
Entity
Organization
Contact information
Practice address
2934 N. EL M ST., SUITE B, LUMBERTON, NC 28358-2981
(910) 272-1175
(910) 272-1176
Mailing address
PO BOX 890860, CHARLOTTE, NC 28289-0860
(910) 671-5290
(910) 671-8512
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
H0064
NC
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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