Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Other names
Southeastern Medical Clinic Gray's Creek
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN RUTH (DIRECTOR)
(910) 735-8874
Entity
Organization
Contact information
Practice address
1277 CHICKEN FOOT RD., HOPE MILLS, NC 28348-7525
(910) 272-3051
(910) 738-3764
Mailing address
2600 N ELM ST, LUMBERTON, NC 28358-3011
(910) 272-3051
(910) 738-3764
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
H0064
NC
Other
Enumeration date
12/01/2009
Last updated
12/04/2009
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