Organization
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Active
Organization
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Active
Other names
Southeastern Multi-Specialty Clinic at Gibson Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
SARA BETH BRADLEY (CFO)
(910) 671-5297
Entity
Organization
Contact information
Practice address
1200 PINE RUN DR, LUMBERTON, NC 28358-2180
(910) 671-5048
(910) 671-5405
Mailing address
PO BOX 749193, ATLANTA, GA 30374-9193
(984) 974-4372
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
04/28/2025
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