Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Other names
Southeastern Urgent Care Lumberton
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES THOMAS JOHNSON III (VP)
(910) 671-5090
Entity
Organization
Contact information
Practice address
2934 N. EL M ST., SUITE B, LUMBERTON, NC 28358-2981
(910) 272-1175
(910) 272-1176
Mailing address
PO BOX 890860, CHARLOTTE, NC 28289-0860
(910) 671-5290
(910) 671-8512
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
H0064
NC
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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