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Organization

SOUTHEASTERN REGIONAL MEDICAL CENTER

Active
Parent organization
SOUTHEASTERN REGIONAL MEDIAL CENTER
Other names
Southeastern Navigation Group
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTHEASTERN REGIONAL MEDIAL CENTER
Authorized official
C THOMAS JOHNSON III (VICE PRESIDENT/CFO)
(910) 671-5090
Entity
Organization

Contact information

Practice address
2002 N CEDAR ST STE B, LUMBERTON, NC 28358-3926
(910) 671-5600
(910) 739-3551
Mailing address
2002 N CEDAR ST STE B, LUMBERTON, NC 28358-3926
(910) 671-5600
(910) 739-3551

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
HOS1599
NC

Other

Enumeration date
08/21/2013
Last updated
08/21/2013
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