Organization
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Active
Parent organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Other names
Wound Care Professional Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHEASTERN REGIONAL MEDICAL CENTER
Authorized official
FORDHAM B BRITT (DIRECTOR)
(910) 671-5026
Entity
Organization
Contact information
Practice address
103 W 27TH ST, LUMBERTON, NC 28358-3014
(910) 738-3836
(910) 738-3959
Mailing address
2600 N ELM ST, LUMBERTON, NC 28358-3011
(910) 272-3051
(910) 738-3764
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
H0064
NC
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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