# SOUTHEASTERN REGIONAL MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Lumberton Diabetes and Arthritis Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376507715
- **Authorized official:** MR. C. THOMAS JOHNSON III CFO (VICE PRESIDENT FINANCE)
- **Authorized official phone:** (910) 671-5090

## Contact information

- **Practice address:** 106 FARM BROOK DR, SUITE A, LUMBERTON, NC 28358-2178
- **Practice address phone:** (910) 671-8556
- **Practice address fax:** (910) 671-9299
- **Mailing address:** 2600 N ELM ST, LUMBERTON, NC 28358-3011
- **Mailing address phone:** (910) 272-3051
- **Mailing address fax:** (910) 738-3764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | H0064 | NC | Yes |

## Other

- **Enumeration date:** 04/13/2006
- **Last updated:** 11/04/2009