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Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Other names
Southeastern Radiology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES T. JOHNSON III (DIRECTOR)
(910) 671-5090
Entity
Organization
Contact information
Practice address
209 W 27TH ST, LUMBERTON, NC 28358-3016
(910) 738-8222
(910) 671-0846
Mailing address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 738-8222
(910) 671-8512
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/03/2012
Last updated
08/02/2016
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