Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Other names
SRMC-CRNA
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES T. JOHNSON III (CFO)
(910) 671-5090
Entity
Organization
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5000
(910) 738-3764
Mailing address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5000
(910) 738-3764
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
H0064
NC
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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