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Organization
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Active
Organization
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Active
Other names
Southeastern Women's Healthcare at the Oaks
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES THOMAS JOHNSON (VP/CFO)
(910) 671-5090
Entity
Organization
Contact information
Practice address
800 OAKRIDGE BLVD, LUMBERTON, NC 28358-2330
(910) 738-2454
(910) 671-9303
Mailing address
2002 N CEDAR ST STE B, LUMBERTON, NC 28358-3926
(910) 272-3048
(910) 671-5538
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
04/25/2018
Last updated
10/08/2020
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