Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Other names
SRMC IP Wound Care
Organization subpart
No
Provider details
NPI number
Authorized official
SARA B BRADLEY (VP/CFO)
(910) 671-5297
Entity
Organization
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5290
Mailing address
PO BOX 1408, LUMBERTON, NC 28359-1408
(910) 671-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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