Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Other names
The Orthopaedic Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES T. JOHNSON (VP FINANCE)
(910) 671-5090
Entity
Organization
Contact information
Practice address
500 W 27TH ST, LUMBERTON, NC 28358-3021
(910) 618-0441
(910) 618-0513
Mailing address
2600 N ELM ST, LUMBERTON, NC 28358-3011
(910) 272-3051
(910) 738-3764
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
H0064
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019VX
BCBS
NC
05
—
5906688
—
NC
Enumeration date
03/14/2007
Last updated
01/27/2009
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