Organization
SOUTHEASTERN REGIOINAL MEDICAL CENTER
Active
Other names
SRMC IP Peds Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES THOMAS JOHNSON (CRO)
(910) 671-5083
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
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
Update your record
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