Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Other names
SRMC-Anesthesiology Services
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES T. JOHNSON III (CFO)
(910) 671-5090
Entity
Organization
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5000
(910) 738-3764
Mailing address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5000
(910) 738-3764
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H0064
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
H0064
NC
Other
Enumeration date
10/03/2014
Last updated
10/08/2014
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