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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
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