Organization
COLUMBUS REGIONAL PHYSICIANS NETWORK
Active
Other names
South Columbus Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY HAWTHORNE (PRESIDENT)
(910) 641-3677
Entity
Organization
Contact information
Practice address
14508 JAMES B WHITE HWY S, TABOR CITY, NC 28463-8358
(910) 653-7000
Mailing address
500 JEFFERSON STREET, ATTN: DEBRA SNIDER, DIRECTOR PHYSICIAN NETWORK, WHITEVILLE, NC 28472-3634
(910) 641-3677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200200060
NC
Other
Enumeration date
04/29/2010
Last updated
05/26/2010
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