Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Other names
Lumberton Diabetes and Arthritis Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. C. THOMAS JOHNSON III CFO (VICE PRESIDENT FINANCE)
(910) 671-5090
Entity
Organization
Contact information
Practice address
106 FARM BROOK DR, SUITE A, LUMBERTON, NC 28358-2178
(910) 671-8556
(910) 671-9299
Mailing address
2600 N ELM ST, LUMBERTON, NC 28358-3011
(910) 272-3051
(910) 738-3764
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
H0064
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016C0
BCBSNC
NC
05
—
89016C0
—
NC
Enumeration date
04/13/2006
Last updated
11/04/2009
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