Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Other names
Practitioner Group - General
Organization subpart
No
Provider details
NPI number
Authorized official
MR. C. THOMAS JOHNSON III CPA (V. P. FINANCE)
(910) 671-5090
Entity
Organization
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5000
Mailing address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
H0064
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8907686
—
NC
Enumeration date
03/10/2006
Last updated
11/02/2009
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