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Organization

SOUTHEASTERN REGIONAL PHYSICIAN SERVICES

Active
Other names
Southeastern Arthritis Center
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES THOMAS JOHNSON III (CRO)
(910) 671-5083
Entity
Organization

Contact information

Practice address
4901 DAWN DR STE 2100, LUMBERTON, NC 28360-0005
(910) 671-8556
(910) 671-4850
Mailing address
2002 N CEDAR ST STE B, LUMBERTON, NC 28358-3926
(910) 272-3048
(910) 738-3764

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
H0064
NC

Other

Enumeration date
05/27/2014
Last updated
03/25/2022
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