Organization
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Active
Other names
Southeastern COVID-19 Vaccination Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ELLA HUNT (CREDENTIALING)
(910) 737-3147
Entity
Organization
Contact information
Practice address
2901 N ELM ST, LUMBERTON, NC 28358-2982
(910) 671-5395
Mailing address
2002 N CEDAR ST STE B, LUMBERTON, NC 28358-3926
(910) 272-3048
(910) 671-5538
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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