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Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Other names
Southeastern Hospitalists
Organization subpart
No
Provider details
NPI number
Authorized official
SARA B BRADLEY (CHIEF FINANCIAL OFFICER)
(501) 282-6904
Entity
Organization
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5000
Mailing address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5000
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
H0064
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020VX
BCBS
—
05
—
5950154
—
NC
Enumeration date
06/11/2008
Last updated
08/20/2025
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